Doctor Name: | MRS. NATALIE J. DEMELLO |
NPI Number: | 1730402694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN, CDE |
License Number: | 164003603 |
Business Practice Address: | 304 Excalibur Carterville, IL - 629183574 |
Business Phone Number: | 6188899440 |
Business Fax Number: | |
Mailing Address: | 304 Excalibur Drive, CARTERVILLE |
State: | IL |
Postal Code: | 629183574 |
Phone Number: | 6188899440 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2010 |
NPI Last Update Date: | 03/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164003603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |