Doctor Name: | TINA K MCGREW |
NPI Number: | 1700862976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD |
License Number: | 178 |
Business Practice Address: | 1060 Gaffney Rd Bassett Army Community Hospital, Ncd Fort Wainwright, AK - 997035001 |
Business Phone Number: | 9073535276 |
Business Fax Number: | 9073534829 |
Mailing Address: | 3044 Super Cub Ln, NORTH POLE |
State: | AK |
Postal Code: | 997057517 |
Phone Number: | 9074881363 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 178 |
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 |