Individual provider · Type 1 NPI

Kimberly Nishiyama, DTR

Registered Dietetic Technician · Glendale, AZ

NPI number 1003308487 Active

Practice location

20325 N 51st Ave
Glendale, AZ 85308-5674

Call (602) 341-5248 Map

Mailing address

20325 N 51st Ave Ste 166
Glendale, AZ 85308-4624

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000X86092429 (AZ)

Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…

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About NPI 1003308487

Kimberly Nishiyama, DTR's National Provider Identifier is 1003308487, issued on Jun 1, 2018. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Glendale, AZ. The record was last updated on Jun 1, 2018.