Doctor Name: | MRS. DARCI MCMURRAY |
NPI Number: | 1649693524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LMNT, CSP |
License Number: | 613 |
Business Practice Address: | 1015 Primrose Ln Hickman, NE - 683729486 |
Business Phone Number: | 4024990217 |
Business Fax Number: | |
Mailing Address: | 1015 Primrose Ln, HICKMAN |
State: | NE |
Postal Code: | 683729486 |
Phone Number: | 4024990217 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2014 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1004X |
License Number: | 613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Pediatric |
Taxonomy Definition: |