Erin R Nelson, RD

Individual provider Active NPI Registered Dietitian · Isleta, NM

NPI 1346480035 · NPPES record last updated May 29, 2012

Key facts

NPI
1346480035
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LD-0865 (NM)
Practice address
01 Sagebrush Street
Isleta, NM 87022
Phone
(214) 348-5557
Fax
(214) 348-5898
NPI assigned
Feb 20, 2009
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
LD-0865NMMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT80500 TX
Registered Dietitian 133V00000X LD-0865 NM Yes

Addresses

Primary practice location

01 Sagebrush Street
Isleta, NM 87022

Mailing address

P.O Box 640
Isleta, NM 87022
Phone (505) 869-3200

Other names

  • Erin R Lichty Former name

Other providers in Isleta, NM

All providers in Isleta, NM · Registered Dietitian in New Mexico

Sources for this page

Verify at the official NPI Registry.