Doctor Name: | MS. MARIA HELEN CONNOR |
NPI Number: | 1053510248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CDE |
License Number: | RN086686 |
Business Practice Address: | 483 W. Seed Farm Rd. Sacaton, AZ - 85247 |
Business Phone Number: | 6025281340 |
Business Fax Number: | 6025281296 |
Mailing Address: | Po Box 115, Gila River Health Care Corporation / Credentialing SACATON |
State: | AZ |
Postal Code: | 852470115 |
Phone Number: | 6025281340 |
Fax Number: | 6025281296 |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | RN086686 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |