Mia Abram, RD
Individual provider Active NPI Registered Dietitian · Phoenix, AZ
NPI 1144929522 · NPPES record last updated Feb 24, 2023
Key facts
- NPI
- 1144929522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86171865
- Practice address
- 2525 E Roosevelt St
Phoenix, AZ 85008-4948 - Phone
- (602) 344-5125
- NPI assigned
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86171865 | Yes |
Addresses
Primary practice location
2525 E Roosevelt St
Phoenix, AZ 85008-4948
Mailing address
2019 E Turney Ave Apt 3
Phoenix, AZ 85016-5539
Phone (805) 459-3623
Other providers in Phoenix, AZ
- Michael Abraham
- Rinu Thomas Abraham
- Rtika Ryfka Abraham
- Suzanne Abraham
- Vanessa Leigh Abrahamson
- Frederick James Abramek
- Irakliy Abramov
- Andre Abrams
- Christie Abrams
- David Robert Abrams
All providers in Phoenix, AZ · Registered Dietitian in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 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.