Doctor Name: | DR. NASIRA BURKHOLDER-COOLEY |
NPI Number: | 1245686963 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DRPH, RD |
License Number: | 1077006 |
Business Practice Address: | 603 S Milliken Ave Suite F Ontario, CA - 917618102 |
Business Phone Number: | 8446954331 |
Business Fax Number: | |
Mailing Address: | 603 S Milliken Ave, Suite F ONTARIO |
State: | CA |
Postal Code: | 917618102 |
Phone Number: | 8446954331 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2016 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1077006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |