Susan Marie Johnson in Paradise - Dietitian, Registered

Susan Marie Johnson - NPI 1740327824

Susan Marie Johnson is a Dietitian, Registered in Paradise, California. Susan Marie Johnson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan Marie Johnson is 1740327824. The last update date is 2007-07-08.

Susan Marie Johnson's current location address is 5974 Pentz Rd, Paradise, California. You can contact this provider via phone number 5308779361. The mailing address for Susan Marie Johnson is 5974 Pentz Rd, Paradise, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Marie Johnson
Address 5974 Pentz Rd, Paradise, California
Phone Number 5308779361
Fax Number
Sole Proprietor N
Credentials RD,CNSD

NPI Number Detail

NPI Number 1740327824
Provider Enumeration Date 2007-01-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5974 Pentz Rd
City Paradise
State California (CA)
Post Code 959695509
Phone Number 5308779361
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 863614
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
863614 CA LICENSE NUMBER

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FAQs about Susan Marie Johnson

What is the unique 10-digit identification code assigned to Susan Marie Johnson by the Centers for Medicare & Medicaid Services?

The Susan Marie Johnson has been issued the NPI (National Provider Identifier) 1740327824, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Susan Marie Johnson is physically located?

The Susan Marie Johnson is situated at the following address: 5974 Pentz Rd, Paradise, CA 959695509.

What is Susan Marie Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susan Marie Johnson's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.

When was the Susan Marie Johnson's 1740327824 issued?

The Susan Marie Johnson's 1740327824 was issued on 2007-01-30.

As of what date were the details pertaining to Susan Marie Johnson last refreshed?

The information related to the Susan Marie Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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