Doctor Name: | MRS. AMBER LEIGH COLVIN |
NPI Number: | 1619330230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | DTND335 |
Business Practice Address: | 700 Chief Eddie Hoffman Highway Bethel, AK - 995590287 |
Business Phone Number: | 9075436438 |
Business Fax Number: | 9075436406 |
Mailing Address: | Po Box 287, BETHEL |
State: | AK |
Postal Code: | 995590287 |
Phone Number: | 9075436438 |
Fax Number: | 9075436406 |
NPI Enumeration Date: | 03/31/2016 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DTND335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |