Anissa A Gustafson in Las Vegas - Dietitian, Registered
Anissa A Gustafson - NPI 1205059565
Anissa A Gustafson is a Dietitian, Registered in Las Vegas, Nevada. Anissa A Gustafson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Anissa A Gustafson is 1205059565. The last update date is 2007-07-08.
Anissa A Gustafson's current location address is 3006 S Maryland Pkwy, Las Vegas, Nevada. You can contact this provider via phone number 7027321290 and fax number 7027320992. The mailing address for Anissa A Gustafson is 3006 S Maryland Pkwy, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anissa A Gustafson |
|---|---|
| Address | 3006 S Maryland Pkwy, Las Vegas, Nevada |
| Phone Number | 7027321290 |
| Fax Number | 7027320992 |
| Sole Proprietor | N |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1205059565 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3006 S Maryland Pkwy |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891092218 |
| Phone Number | 7027321290 |
| Fax Number | 7027320992 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 844704 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 844704 | NV | ADA MEMBERSHIP NUMBER |
Post Comment/ Review Below
What is the Anissa A Gustafson's unique identification number?
The Anissa A Gustafson has been assigned the NPI (National Provider Identifier) Number 1205059565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Anissa A Gustafson?
The Anissa A Gustafson is physically situated at 3006 S Maryland Pkwy, in the city of Las Vegas, state of NV, with the postal code 891092218.
What is the Anissa A Gustafson's specialty and taxonomy code?
The Anissa A Gustafson's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.
On what date did the Anissa A Gustafson receive its 1205059565 assignment from the Centers for Medicare & Medicaid Services?
The Anissa A Gustafson was assigned its 1205059565 by the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information regarding Anissa A Gustafson most recently updated?
The details pertaining to the Anissa A Gustafson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN