Individual provider · NPI-1

Angela Bartlett, MS, RD, LD

Dietitian, Registered · Glendale, AZ

NPI number1497183735
StatusActive
Last updated in NPPESSep 19, 2024

Details

NPI
1497183735
Entity type
Individual (NPI-1)
Name
Angela Bartlett
Credential
MS, RD, LD
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2013
Certification date
Sep 19, 2024
Last updated
Sep 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1098897AZYes
133V00000X Dietitian, Registered1098897–

Practice location

17505 N 79th Ave
Suite 110
Glendale, AZ 85308-8725

Phone 623-399-6825 · Fax 623-505-3474

Mailing address

67 Sarah Ln
Pownal, VT 05261-9519

Phone 518-275-6183

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