Doctor Name: | NORA BULLOCH |
NPI Number: | 1528342474 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, MA, MPH |
License Number: | 809272 |
Business Practice Address: | 365 Tesconi Cir Suite B Santa Rosa, CA - 954014617 |
Business Phone Number: | 7075756043 |
Business Fax Number: | 7075751060 |
Mailing Address: | 837 Fitch St, HEALDSBURG |
State: | CA |
Postal Code: | 954483704 |
Phone Number: | 7073313898 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 809272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |