Mary Patricia Willms in Espanola - Dietitian, Registered
Mary Patricia Willms - NPI 1710174420
Mary Patricia Willms is a Dietitian, Registered in Espanola, New Mexico. Mary Patricia Willms practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary Patricia Willms is 1710174420. The last update date is 2007-09-26.
Mary Patricia Willms's current location address is 620 Coronado St., Espanola, New Mexico. You can contact this provider via phone number 5057537395. The mailing address for Mary Patricia Willms is 620 Coronado St., Espanola, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Patricia Willms |
|---|---|
| Address | 620 Coronado St., Espanola, New Mexico |
| Phone Number | 5057537395 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710174420 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2007-09-26 |
Provider Mailing Address Detail
| Address | 620 Coronado St. |
|---|---|
| City | Espanola |
| State | New Mexico (NM) |
| Post Code | 87532 |
| Phone Number | 5057537395 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | LD-0659 |
|
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 identifier code issued to Mary Patricia Willms by the Centers for Medicare & Medicaid Services?
The Mary Patricia Willms has been assigned the NPI (National Provider Identifier) 1710174420. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mary Patricia Willms's facilities are geographically located?
The facilities of Mary Patricia Willms are physically situated at the following location: 620 Coronado St., Espanola, NM, 87532.
What is the Mary Patricia Willms's area of specialization and corresponding taxonomy classification?
The Mary Patricia Willms'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 Mary Patricia Willms receive its 1710174420 assignment from the Centers for Medicare & Medicaid Services?
The Mary Patricia Willms was assigned its 1710174420 on 2007-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mary Patricia Willms most recently updated or refreshed?
The details pertaining to the Mary Patricia Willms, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-26.
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