Michelle Berry, RN
Dietetic Technician, Registered in Kearney, NE. Individual provider (NPI-1).
NPI number1699080689
StatusActive
Last updated in NPPESAug 13, 2010
Details
- NPI
- 1699080689
- Entity type
- Individual (NPI-1)
- Name
- Michelle Berry
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2010
- Last updated
- Aug 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 136A00000X | Dietetic Technician, Registered | 2011-0243 | NE | Yes |
Practice location
3219 Central AveKearney, NE 68847-2949
Phone 308-865-2263 · Fax 308-865-2541
Mailing address
3219 Central AveKearney, NE 68847-2949
Phone 308-865-2263 · Fax 308-865-2541
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