Doctor Name: | BEVERLY LYNN PRENTICE |
NPI Number: | 1528114873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D., L.D. |
License Number: | 1488 |
Business Practice Address: | 10105 Bridgewater Cir Owasso, OK - 740557727 |
Business Phone Number: | 9182724267 |
Business Fax Number: | 9182744227 |
Mailing Address: | 10105 Bridgewater Cir, OWASSO |
State: | OK |
Postal Code: | 740557727 |
Phone Number: | 9182724267 |
Fax Number: | 9182744227 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1488 |
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 |