Nina Dougherty in Santa Fe - Nutrition, Pediatric
Nina Dougherty - NPI 1518162205
Nina Dougherty is a Nutrition, Pediatric in Santa Fe, New Mexico. Nina Dougherty practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Nina Dougherty is 1518162205. The last update date is 2007-07-08.
Nina Dougherty's current location address is 28 General Sage Dr, Santa Fe, New Mexico. You can contact this provider via phone number 5059881899 and fax number 5059881899. The mailing address for Nina Dougherty is 28 General Sage Dr, Santa Fe, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nina Dougherty |
|---|---|
| Address | 28 General Sage Dr, Santa Fe, New Mexico |
| Phone Number | 5059881899 |
| Fax Number | 5059881899 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518162205 |
|---|---|
| Provider Enumeration Date | 2007-06-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 28 General Sage Dr |
|---|---|
| City | Santa Fe |
| State | New Mexico (NM) |
| Post Code | 875056395 |
| Phone Number | 5059881899 |
| Fax Number | 5059881899 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 54 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1179553000 | NM | CRS-1FILER'S KIT |
Post Comment/ Review Below
What is the unique identification code assigned to Nina Dougherty by the Centers for Medicare & Medicaid Services?
The Nina Dougherty has been issued the NPI (National Provider Identifier) 1518162205. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Nina Dougherty is physically located?
The Nina Dougherty is physically situated at the following address: 28 General Sage Dr, Santa Fe, NM, 875056395.
What is Nina Dougherty's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nina Dougherty is Nutrition, Pediatric, and the corresponding taxonomy classification code for this specialized field is 133Vn1004X.
On what date did the Nina Dougherty receive its 1518162205 assignment from the Centers for Medicare & Medicaid Services?
The Nina Dougherty was assigned its 1518162205 by the Centers for Medicare & Medicaid Services on 2007-06-20.
When was the information related to Nina Dougherty most recently updated or refreshed?
The details pertaining to the Nina Dougherty, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.