Nutrition Specialists of Northeastern Oklahoma

NPI #1902299639 in Owasso, Oklahoma

Provider Information

NPI Number: 1902299639
Entity Type: Organization
Organization Name: Nutrition Specialists of Northeastern Oklahoma
Primary Specialty: Dietitian, Registered
Enumeration Date: Mar 4, 2015
Last Updated: Apr 12, 2018

Practice Location

Address: 10105 N BRIDGEWATER CIR
City: Owasso
State: Oklahoma
ZIP Code: 74055-7727
Phone: (918) 272-4207

Authorized Official

Name: BEVERLY LYNN PRENTICE, RDN
Title: OWNER
Phone: (918) 272-4207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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