| Doctor Name: | NANCY ANN EITLER |
| NPI Number: | 1356504757 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | 0175 |
| Business Practice Address: | East Hwy 18 Pine Ridge, SD - 57770 |
| Business Phone Number: | 6058673112 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1201, PINE RIDGE |
| State: | SD |
| Postal Code: | 57770 |
| Phone Number: | 6058673112 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2008 |
| NPI Last Update Date: | 07/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | 0175 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |