Doctor Name: | MS. HEATHER MARIE ENOS |
NPI Number: | 1164768933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD 960320 |
License Number: | 960320 |
Business Practice Address: | 20325 N 51st Ave Suite 166 Glendale, AZ - 853085674 |
Business Phone Number: | 6023415248 |
Business Fax Number: | |
Mailing Address: | 4054 W Blackhawk Dr, GLENDALE |
State: | AZ |
Postal Code: | 853084751 |
Phone Number: | 6237342884 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2012 |
NPI Last Update Date: | 12/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 960320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |