Carrie Crandall, RD

Individual provider Active NPI Registered Dietitian · Mason, MI

NPI 1831853753 · NPPES record last updated Oct 27, 2021

Key facts

NPI
1831853753
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
837309
Practice address
496 Riverwalk Dr
Mason, MI 48854-9381
Phone
(517) 449-6049
NPI assigned
Oct 27, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 837309 Yes

Addresses

Primary practice location

496 Riverwalk Dr
Mason, MI 48854-9381

Mailing address

496 Riverwalk Dr
Mason, MI 48854-9381
Phone (517) 449-6049

Other providers in Mason, MI

All providers in Mason, MI · Registered Dietitian in Michigan

Sources for this page

Verify at the official NPI Registry.