Vilma E Andari, MS
Individual provider Active NPI Nutritionist · Brisbane, CA
NPI 1235474396 · NPPES record last updated Nov 30, 2012
Key facts
- NPI
- 1235474396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 153 Golden Eagle LN
Brisbane, CA 94005-1249 - Phone
- (408) 230-8928
- NPI assigned
- Nov 30, 2012
- 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Yes |
Addresses
Primary practice location
153 Golden Eagle LN
Brisbane, CA 94005-1249
Mailing address
153 Golden Eagle LN
Brisbane, CA 94005-1249
Phone (408) 230-8928
Other providers in Brisbane, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2012. 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.