Doctor Name: | PATRICIA A. ELLIS |
NPI Number: | 1558702175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1065674 |
Business Practice Address: | Az Highway 191 And Hospital Road Chinle, AZ - 86503 |
Business Phone Number: | 9286747166 |
Business Fax Number: | 9286747705 |
Mailing Address: | Po Box Ph, CHINLE |
State: | AZ |
Postal Code: | 865038000 |
Phone Number: | 9286747166 |
Fax Number: | 9286747705 |
NPI Enumeration Date: | 07/11/2013 |
NPI Last Update Date: | 07/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1065674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |