Doctor Name: | DIANE SUE TRAVER |
NPI Number: | 1336228147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. PH.D. C.D.E. |
License Number: | |
Business Practice Address: | 5900 Byron Center Ave Sw Wyoming, MI - 495199606 |
Business Phone Number: | 6162528100 |
Business Fax Number: | |
Mailing Address: | 5900 Byron Center Ave Sw, Food & Nutrition Services/cancer Ctr. At Metro Health V WYOMING |
State: | MI |
Postal Code: | 495199606 |
Phone Number: | 6162528100 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 04/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |