Doctor Name: | MS. JANET ANNE NOVAK |
NPI Number: | 1265602973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LD |
License Number: | 376 |
Business Practice Address: | 1501 San Pedro Dr Se Kirtland Air Force Base Albuquerque, NM - 871085153 |
Business Phone Number: | 5059741717 |
Business Fax Number: | |
Mailing Address: | 12010 Stilwell Dr Ne, ALBUQUERQUE |
State: | NM |
Postal Code: | 871123444 |
Phone Number: | 5059741717 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2008 |
NPI Last Update Date: | 03/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |