Doctor Name: | LAURA R WITTKE |
NPI Number: | 1700056207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD |
License Number: | 625808 |
Business Practice Address: | 809 W Riordan Rd Sutie 100 #327 Flagstaff, AZ - 860010801 |
Business Phone Number: | 9288149585 |
Business Fax Number: | |
Mailing Address: | 809 W Riordan Rd, Sutie 100 #327 FLAGSTAFF |
State: | AZ |
Postal Code: | 860010801 |
Phone Number: | 9288149585 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 625808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |