Arianne Michelle Liner, NDTR
Individual provider Active NPI Registered Dietetic Technician · Dulac, LA
NPI 1083481204 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1083481204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietetic Technician 136A00000X
- License
- 86075117 (LA)
- Practice address
- 6509 Shrimpers Row
Dulac, LA 70353-2405 - Phone
- (504) 220-8617
- NPI assigned
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86075117 | LA | MD | Registered Dietetic Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietetic Technician | 136A00000X | 86075117 | LA | Yes |
Addresses
Primary practice location
6509 Shrimpers Row
Dulac, LA 70353-2405
Mailing address
6509 Shrimpers Row
Dulac, LA 70353-2405
Phone (504) 220-8617
Other providers in Dulac, LA
All providers in Dulac, LA · Registered Dietetic Technician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.