Michelle Elaine Ageno, M.S.,R.D.
Individual provider Active NPI Registered Dietitian · Phoenix, AZ
NPI 1982857488 · NPPES record last updated Oct 28, 2008
Key facts
- NPI
- 1982857488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 124 W Thomas Rd
Phoenix, AZ 85013-4405 - Phone
- (602) 406-5822
- NPI assigned
- Oct 28, 2008
- 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
124 W Thomas Rd
Phoenix, AZ 85013-4405
Mailing address
124 W Thomas Rd
Phoenix, AZ 85013-4405
Phone (602) 406-5822
Other providers in Phoenix, AZ
- Charlie M. Agee
- Loran Agee
- Ageless Health Institute, PC
- Ageless Nutrition Bar Holdings, Inc
- Jacqueline Lea Agenbroad
- Gaurav Aggarwal
- Gautam Aggarwal
- Sourabh Aggarwal
- Agh Laveen LLC
- Agh Laveen LLC
All providers in Phoenix, AZ · Registered Dietitian in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2008. 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.