Doctor Name: | MS. ELLEN LOUISE GREEN-YOUNG |
NPI Number: | 1447513858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD/LD |
License Number: | 879 |
Business Practice Address: | 670 Petunia Road Wright City, OK - 74766 |
Business Phone Number: | 5802363705 |
Business Fax Number: | 5809817005 |
Mailing Address: | Po Box 100, WRIGHT CITY |
State: | OK |
Postal Code: | 747660100 |
Phone Number: | 5802363705 |
Fax Number: | 5809817005 |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |