Individual provider · NPI-1

Evajean Alpine

Dietitian, Registered · Glendale, AZ

NPI number1437040797
StatusActive
Last updated in NPPESJul 14, 2025

Details

NPI
1437040797
Entity type
Individual (NPI-1)
Name
Evajean Alpine
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2025
Certification date
Jul 14, 2025
Last updated
Jul 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86209582AZYes

Practice location

18001 N 79th Ave Ste A12
Glendale, AZ 85308-8398

Phone 623-399-6825 · Fax 623-505-3474

Mailing address

18001 N 79th Ave Ste A12
Glendale, AZ 85308-8398

Phone 623-399-6825 · Fax 623-505-3474

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