Doctor Name: | JANICE L SMITH |
NPI Number: | 1366529224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MNT |
License Number: | 37001003 |
Business Practice Address: | 4880 Century Plaza Road Suite 200 Indianapolis, IN - 462545474 |
Business Phone Number: | 3172934113 |
Business Fax Number: | 3172902542 |
Mailing Address: | 4880 Century Plaza Road, Suite 200 INDIANAPOLIS |
State: | IN |
Postal Code: | 462545474 |
Phone Number: | 3172934113 |
Fax Number: | 3172902542 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37001003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |