Doctor Name: | PAMELA PRUTZMAN |
NPI Number: | 1508191974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 2179 |
Business Practice Address: | 4301 W Markham St #574 Little Rock, AR - 722057101 |
Business Phone Number: | 5015544439 |
Business Fax Number: | |
Mailing Address: | 1512 Millcreek Dr, ARKADELPHIA |
State: | AR |
Postal Code: | 719233022 |
Phone Number: | 8702456038 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2009 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2179 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
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 |