| Doctor Name: | ELIZABETH BERRY |
| NPI Number: | 1003157975 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS. RD |
| License Number: | |
| Business Practice Address: | 2018 E Granite View Dr Phoenix, AZ - 850484344 |
| Business Phone Number: | 6027701335 |
| Business Fax Number: | |
| Mailing Address: | 2018 E Granite View Dr, PHOENIX |
| State: | AZ |
| Postal Code: | 850484344 |
| Phone Number: | 6027701335 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2013 |
| NPI Last Update Date: | 03/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |