Emily McMillen, RD

Individual provider Active NPI Registered Dietitian · Cottonwood, CA

NPI 1508476599 · NPPES record last updated Aug 4, 2020

Key facts

NPI
1508476599
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86083191 (CA)
Practice address
19390 McCann Rd
Cottonwood, CA 96022-8535
Phone
(970) 409-7789
NPI assigned
Aug 4, 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

State licenses

LicenseStateTypeSpecialty
86083191CAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86083191 CA Yes

Addresses

Primary practice location

19390 McCann Rd
Cottonwood, CA 96022-8535

Mailing address

19390 McCann Rd
Cottonwood, CA 96022-8535
Phone (970) 409-7789

Other providers in Cottonwood, CA

All providers in Cottonwood, CA · Registered Dietitian in California

Sources for this page

Verify at the official NPI Registry.