| Doctor Name: | MRS. VIVIAN ELLEN TIEGEN |
| NPI Number: | 1225081904 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDN.,L.D.N., C.D.E. |
| License Number: | ND2151 |
| Business Practice Address: | 4601 Military Trl Suite 205 Jupiter, FL - 334584834 |
| Business Phone Number: | 5616249744 |
| Business Fax Number: | 5616230845 |
| Mailing Address: | 4601 Military Trl, Suite 205 JUPITER |
| State: | FL |
| Postal Code: | 334584834 |
| Phone Number: | 5616249744 |
| Fax Number: | 5616230845 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 03/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | ND2151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |