Individual provider · NPI-1

Diane Ellen Byler, R.D.

Dietitian, Registered · Glendale, AZ

NPI number1902138191
StatusActive
Last updated in NPPESMay 15, 2013

Details

NPI
1902138191
Entity type
Individual (NPI-1)
Name
Diane Ellen Byler
Credential
R.D.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 12, 2010
Last updated
May 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered877835–Yes

Practice location

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

Phone 623-399-6825 · Fax 623-505-3474

Mailing address

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

Phone 623-399-6825 · Fax 623-505-3474

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