Millicent Tanner in Jacksonville Beach - Dietitian, Registered
Millicent Tanner - NPI 1467495242
Millicent Tanner is a Dietitian, Registered in Jacksonville Beach, Florida. Millicent Tanner practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Millicent Tanner is 1467495242. The last update date is 2007-07-08.
Millicent Tanner's current location address is 340 16th Ave N, Jacksonville Beach, Florida. You can contact this provider via phone number 9042471911 and fax number 9042479736. The mailing address for Millicent Tanner is 340 16th Ave N, Jacksonville Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Millicent Tanner |
|---|---|
| Address | 340 16th Ave N, Jacksonville Beach, Florida |
| Phone Number | 9042471911 |
| Fax Number | 9042479736 |
| Sole Proprietor | X |
| Credentials | R.D.,C.D.E |
NPI Number Detail
| NPI Number | 1467495242 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 340 16th Ave N |
|---|---|
| City | Jacksonville Beach |
| State | Florida (FL) |
| Post Code | 322504819 |
| Phone Number | 9042471911 |
| Fax Number | 9042479736 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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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 |
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What is the unique 10-digit identifier code assigned to Millicent Tanner by the Centers for Medicare & Medicaid Services?
The Millicent Tanner has been issued the NPI (National Provider Identifier) 1467495242 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Millicent Tanner?
The Millicent Tanner is physically situated at 340 16Th Ave N, in the city of Jacksonville Beach, state of FL, with the postal code 322504819.
What is the Millicent Tanner's area of specialization and corresponding taxonomy classification?
The Millicent Tanner's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467495242 to Millicent Tanner?
The Centers for Medicare & Medicaid Services originally issued the 1467495242 to Millicent Tanner on 2006-06-13.
As of what date were the Millicent Tanner's details last updated?
The information pertaining to the Millicent Tanner, including its address, specialty, and other details, was most recently updated on 2007-07-08.