Daisy Arsenault, REGISTERED DIETITIAN
Individual provider Active NPI Registered Dietitian · Gallup, NM
NPI 1780123935 · NPPES record last updated Feb 21, 2017
Key facts
- NPI
- 1780123935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD-0889 (NM)
- Practice address
- 2111 College Dr
Gallup, NM 87301-5600 - Phone
- (505) 863-1820
- Fax
- (505) 863-1898
- NPI assigned
- Feb 21, 2017
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-0889 | NM | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-0889 | NM | Yes |
Addresses
Primary practice location
2111 College Dr
Gallup, NM 87301-5600
Mailing address
1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-1820
Other providers in Gallup, NM
- Donna Arnold
- Laura Aromin
- Janet Neave Arrowsmith
- Steven Arrowsmith
- Yolanda Arroyo-Fontanez
- Bianca Arthur
- Kathleen J Arthur
- Nichole Larice Arthur
- Angela Arviso
- Anthony Lionel Arviso
All providers in Gallup, NM · Registered Dietitian in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2017. 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.