Doctor Name: | VICKIE CRAKER |
NPI Number: | 1407988983 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,CSP,CD |
License Number: | 482338 |
Business Practice Address: | 53078 County Kerry Dr Granger, IN - 465309400 |
Business Phone Number: | 5742724099 |
Business Fax Number: | 8667517170 |
Mailing Address: | 53078 County Kerry Dr, GRANGER |
State: | IN |
Postal Code: | 465309400 |
Phone Number: | 5742724099 |
Fax Number: | 8667517170 |
NPI Enumeration Date: | 03/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 482338 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |