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Natasha Nichole Chitsazan, MS, RD/LD

Dietitian, Registered in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1255713913
StatusActive
Last updated in NPPESJun 18, 2015

Details

NPI
1255713913
Entity type
Individual (NPI-1)
Name
Natasha Nichole Chitsazan
Credential
MS, RD/LD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2015
Last updated
Jun 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1963OKYes
133V00000X Dietitian, Registered–TX

Practice location

1200 Childrens Ave
Suite 4d
Oklahoma City, OK 73104-4637

Phone 405-271-8001 · Fax 405-271-3093

Mailing address

1200 Childrens Ave
Suite 4d
Oklahoma City, OK 73104-4637

Phone 405-271-8001 · Fax 405-271-3093

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