| Doctor Name: | DEBORAH VINE |
| NPI Number: | 1902237217 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSAE, RD, CDE |
| License Number: | 37001179A |
| Business Practice Address: | 11725 N Illinois St Suite 355 Carmel, IN - 460323008 |
| Business Phone Number: | 3176884948 |
| Business Fax Number: | 3176886318 |
| Mailing Address: | 250 N Shadeland Ave, Suite 130 INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462194959 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2013 |
| NPI Last Update Date: | 04/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 37001179A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |