Doctor Name: | MS. JOANN CORINNE TELLER |
NPI Number: | 1437592441 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | ND 5532 |
Business Practice Address: | 7099 Bracken Ln Viera, FL - 329407986 |
Business Phone Number: | 3215373275 |
Business Fax Number: | |
Mailing Address: | 7099 Bracken Ln, VIERA |
State: | FL |
Postal Code: | 329407986 |
Phone Number: | 3215373275 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2013 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND 5532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |