Doctor Name: | TRACY WINDER |
NPI Number: | 1134487887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD/LD, CNSC |
License Number: | 1053 |
Business Practice Address: | 1 Childrens Way Slot 603 Little Rock, AR - 722023500 |
Business Phone Number: | 5013641278 |
Business Fax Number: | 5013646819 |
Mailing Address: | 1 Childrens Way, Slot 603 LITTLE ROCK |
State: | AR |
Postal Code: | 722023500 |
Phone Number: | 5013641278 |
Fax Number: | 5013646819 |
NPI Enumeration Date: | 05/01/2012 |
NPI Last Update Date: | 05/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |