Doctor Name: | NATALIE JACE HARRIS |
NPI Number: | 1548565047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 814855 |
Business Practice Address: | 2300 N Mayfair Rd 425 Wauwatosa, WI - 532261505 |
Business Phone Number: | 4147274455 |
Business Fax Number: | |
Mailing Address: | 928 W Wisconsin Ave, OCONOMOWOC |
State: | WI |
Postal Code: | 530662625 |
Phone Number: | 2625674653 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2011 |
NPI Last Update Date: | 01/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 814855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |