Heather Green, Nutritional Educator
Nutritionist, Nutrition, Education in Round Rock, TX. Individual provider (NPI-1).
NPI number1316486384
StatusActive
Last updated in NPPESFeb 10, 2022
Details
- NPI
- 1316486384
- Entity type
- Individual (NPI-1)
- Name
- Heather Green
- Credential
- Nutritional Educator
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2017
- Certification date
- Feb 10, 2022
- Last updated
- Feb 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | Yes |
Practice location
6612 Casiano CvRound Rock, TX 78665-4407
Phone 401-256-0824
Mailing address
Po Box 1600Round Rock, TX 78680-1600
Phone 401-256-0824
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