Amy Cantrell is a Nutrition, Pediatric in Dallas, Texas. Amy Cantrell practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Amy Cantrell is 1710107347. The last update date is 2020-10-07.
Amy Cantrell's current location address is Po Box 844658, Dallas, Texas. You can contact this provider via phone number 8009940371 and fax number 2542159722. The mailing address for Amy Cantrell is Po Box 844658, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Cantrell |
|---|---|
| Address | Po Box 844658, Dallas, Texas |
| Phone Number | 8009940371 |
| Fax Number | 2542159722 |
| Sole Proprietor | N |
| Credentials | RD, LD |
NPI Number Detail
| NPI Number | 1710107347 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | Po Box 844658 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752844658 |
| Phone Number | 8009940371 |
| Fax Number | 2542159722 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | DT04104 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 143893901 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amy Cantrell by the Centers for Medicare & Medicaid Services?
The Amy Cantrell has been issued the NPI (National Provider Identifier) 1710107347 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Amy Cantrell is physically located?
The Amy Cantrell is situated at the following address: Po Box 844658, Dallas, TX 752844658.
What is Amy Cantrell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Amy Cantrell is Nutrition, Pediatric, and the taxonomy classification code that categorizes this area of expertise is 133Vn1004X.
On what date did Amy Cantrell receive its 1710107347 assignment from the Centers for Medicare & Medicaid Services?
The Amy Cantrell was assigned its 1710107347 on 2007-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Amy Cantrell most recently updated or revised?
The details related to Amy Cantrell, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-07.