Natasha Burrell
Dietitian, Registered in Phoenix, AZ. Individual provider (NPI-1).
NPI number1962045112
StatusActive
Last updated in NPPESOct 21, 2019
Details
- NPI
- 1962045112
- Entity type
- Individual (NPI-1)
- Name
- Natasha Burrell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2019
- Last updated
- Oct 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86132671 | AZ | Yes |
Practice location
635 E Baseline RdPhoenix, AZ 85042-6583
Phone 602-243-7277
Mailing address
3543 W Shannon StChandler, AZ 85226-5918
Phone 480-553-4927
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