Corinn M Betley, RD

Individual provider Active NPI Registered Dietitian · El Dorado Hills, CA

NPI 1164047379 · NPPES record last updated Jun 12, 2020

Key facts

NPI
1164047379
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
4539 Beechwood Dr
El Dorado Hills, CA 95762-6942
Phone
(916) 768-4349
NPI assigned
Jun 12, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X CA Yes

Addresses

Primary practice location

4539 Beechwood Dr
El Dorado Hills, CA 95762-6942

Mailing address

4539 Beechwood Dr
El Dorado Hills, CA 95762-6942
Phone (916) 768-4349

Other providers in El Dorado Hills, CA

All providers in El Dorado Hills, CA · Registered Dietitian in California

Sources for this page

Verify at the official NPI Registry.