Jade Tyler, RD
Dietitian, Registered in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1669942801
StatusActive
Last updated in NPPESNov 30, 2018
Details
- NPI
- 1669942801
- Entity type
- Individual (NPI-1)
- Name
- Jade Tyler
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2018
- Last updated
- Nov 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86046757 | – | Yes |
Practice location
9825 N 95th St Ste 101Scottsdale, AZ 85258-4590
Phone 480-941-4247
Mailing address
9825 N 95th St Ste 101Scottsdale, AZ 85258-4590
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