Juha Nam, MS, RDN, CDN
Dietitian, Registered in Flushing, NY. Individual provider (NPI-1).
NPI number1093577181
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1093577181
- Entity type
- Individual (NPI-1)
- Name
- Juha Nam
- Credential
- MS, RDN, CDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2024
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 009827 | NY | Yes |
Practice location
3323 Union StFlushing, NY 11354-3050
Phone 718-670-0753
Mailing address
2959 Northern Blvd Apt 32cLong Island City, NY 11101-3664
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