Erin K Full, RD

Individual provider Active NPI Registered Dietitian · Anchorage, AK

NPI 1316064348 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1316064348
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
188 (AK)
Practice address
4320 Diplomacy Dr
Attn Sherry Reedy
Anchorage, AK 99508-5925
Phone
(907) 729-3971
Fax
(907) 729-1542
NPI assigned
Mar 23, 2007
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)
Yes

State licenses

LicenseStateTypeSpecialty
188AKMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 188 AK Yes

Addresses

Primary practice location

4320 Diplomacy Dr
Attn Sherry Reedy
Anchorage, AK 99508-5925

Mailing address

4320 Diplomacy Dr
Attn Sherry Reedy
Anchorage, AK 99508-5925
Phone (907) 729-3971

Other providers in Anchorage, AK

All providers in Anchorage, AK · Registered Dietitian in Alaska

Sources for this page

Verify at the official NPI Registry.