Doctor Name: | KIRSTEN RENEE WATTS |
NPI Number: | 1245501584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD |
License Number: | LD-0719 |
Business Practice Address: | Department Of Pediatrics Msc10 5590 1 University Of New Mexico Albuquerque, NM - 871310001 |
Business Phone Number: | 5052720826 |
Business Fax Number: | 5052726620 |
Mailing Address: | 933 Bradbury Dr Se, Suite 2222 ALBUQUERQUE |
State: | NM |
Postal Code: | 871064374 |
Phone Number: | 5052723120 |
Fax Number: | 5052728060 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 05/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD-0719 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
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 |