Doctor Name: | MS. CARRIE JO LEIRAN |
NPI Number: | 1609092907 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D., M.S. |
License Number: | 00187 |
Business Practice Address: | 1200 Pleasant St Younker 106 Des Moines, IA - 503091406 |
Business Phone Number: | 5152418686 |
Business Fax Number: | 5152416047 |
Mailing Address: | 1350 Nw 141st St, CLIVE |
State: | IA |
Postal Code: | 503258373 |
Phone Number: | 5152259092 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |