Raya Jayne Beerbower, RDN
Dietitian, Registered in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1225768898
StatusActive
Last updated in NPPESJul 28, 2022
Details
- NPI
- 1225768898
- Entity type
- Individual (NPI-1)
- Name
- Raya Jayne Beerbower
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2022
- Certification date
- Jul 28, 2022
- Last updated
- Jul 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 37003516A | IN | Yes |
Practice location
1234 E Dupont Rd Ste 1Fort Wayne, IN 46825-1545
Phone 260-425-6390
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
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