Diana Marie Pederson in Madison - Dietitian, Registered
Diana Marie Pederson - NPI 1578747630
Diana Marie Pederson is a Dietitian, Registered in Madison, Wisconsin. Diana Marie Pederson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Diana Marie Pederson is 1578747630. The last update date is 2009-05-26.
Diana Marie Pederson's current location address is 20 S Park St, Madison, Wisconsin. You can contact this provider via phone number 6082872770 and fax number 6082872777. The mailing address for Diana Marie Pederson is 20 S Park St, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana Marie Pederson |
|---|---|
| Address | 20 S Park St, Madison, Wisconsin |
| Phone Number | 6082872770 |
| Fax Number | 6082872777 |
| Sole Proprietor | N |
| Credentials | RDCD |
NPI Number Detail
| NPI Number | 1578747630 |
|---|---|
| Provider Enumeration Date | 2007-12-26 |
| Last Updated Date | 2009-05-26 |
Provider Mailing Address Detail
| Address | 20 S Park St |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537151348 |
| Phone Number | 6082872770 |
| Fax Number | 6082872777 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 2067-29 |
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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 identification code assigned to Diana Marie Pederson by the Centers for Medicare & Medicaid Services?
The Diana Marie Pederson has been issued the NPI (National Provider Identifier) 1578747630. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Diana Marie Pederson's facilities are geographically located?
The facilities of Diana Marie Pederson are physically situated at the following location: 20 S Park St, Madison, WI, 537151348.
What is the Diana Marie Pederson's specialty and taxonomy code?
The Diana Marie Pederson's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.
On what date did Diana Marie Pederson receive its 1578747630 assignment from the Centers for Medicare & Medicaid Services?
The Diana Marie Pederson was assigned its 1578747630 on 2007-12-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Diana Marie Pederson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Diana Marie Pederson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-05-26.