Doctor Name: | MS. MIRIAM RACHEL SIMMONS |
NPI Number: | 1720023385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CDE |
License Number: | 274 |
Business Practice Address: | 1501 San Pedro Dr Se Albuquerque, NM - 871085153 |
Business Phone Number: | 5052651711 |
Business Fax Number: | 5052565455 |
Mailing Address: | 221 Tulane Dr Se, ALBUQUERQUE |
State: | NM |
Postal Code: | 871061413 |
Phone Number: | 5052651711 |
Fax Number: | 5052565455 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |