Doctor Name: | MICHELLE R IRVIN |
NPI Number: | 1366626897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD CDE |
License Number: | 001790 |
Business Practice Address: | 2301 Eastern Ave Red Oak, IA - 515661305 |
Business Phone Number: | 7126237000 |
Business Fax Number: | 7126237224 |
Mailing Address: | 2301 Eastern Ave, Po Box 498 RED OAK |
State: | IA |
Postal Code: | 515661305 |
Phone Number: | 7126237000 |
Fax Number: | 7126237224 |
NPI Enumeration Date: | 12/19/2007 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 001790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |