Michelle Missy Porteous in Corona - Dietitian, Registered

Michelle Missy Porteous - NPI 1003967712

Michelle Missy Porteous is a Dietitian, Registered in Corona, California. Michelle Missy Porteous practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Michelle Missy Porteous is 1003967712. The last update date is 2013-09-03.

Michelle Missy Porteous's current location address is 1275 Conestoga Cir, Corona, California. You can contact this provider via phone number 9513177657 and fax number 9512788665. The mailing address for Michelle Missy Porteous is 1275 Conestoga Cir, Corona, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Missy Porteous
Address 1275 Conestoga Cir, Corona, California
Phone Number 9513177657
Fax Number 9512788665
Sole Proprietor Y
Credentials MS, RD, CD

NPI Number Detail

NPI Number 1003967712
Provider Enumeration Date 2007-01-16
Last Updated Date 2013-09-03

Provider Mailing Address Detail

Address 1275 Conestoga Cir
City Corona
State California (CA)
Post Code 928818616
Phone Number 9513177657
Fax Number 9512788665

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 814382
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
P00962989 CA RAILROAD MEDICARE

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FAQs about Michelle Missy Porteous

What is the Michelle Missy Porteous's unique identification number?

The Michelle Missy Porteous has been assigned the NPI (National Provider Identifier) Number 1003967712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Michelle Missy Porteous is geographically located?

The Michelle Missy Porteous is physically situated at the following location: 1275 Conestoga Cir, Corona, CA, 928818616.

What is Michelle Missy Porteous's area of expertise and its corresponding taxonomy classification?

The Michelle Missy Porteous's field of specialization is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1003967712 assigned to Michelle Missy Porteous?

The Michelle Missy Porteous was issued its 1003967712 on 2007-01-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Michelle Missy Porteous most recently updated or revised?

The information pertaining to Michelle Missy Porteous, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-03.

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