Haley Nicole Pritz, RD
Dietitian, Registered in Bloomington, IL. Individual provider (NPI-1).
NPI number1699485383
StatusActive
Last updated in NPPESDec 2, 2022
Details
- NPI
- 1699485383
- Entity type
- Individual (NPI-1)
- Name
- Haley Nicole Pritz
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2022
- Certification date
- Dec 2, 2022
- Last updated
- Dec 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.008915 | IL | Yes |
Other names
- Haley Nicole Pucel (Former Name)
Practice location
3024 E Empire StBloomington, IL 61704-5402
Phone 309-556-7230
Mailing address
1287 Healing Stone Ct Apt 10Normal, IL 61761-9591
Phone 815-274-4942
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