Individual provider · Type 1 NPI

Mireille F. Ellis, PA

Registered Dietitian · Alpharetta, GA

NPI number 1154442200 Active

Practice location

2650 Holcomb Bridge Rd Ste 510
Alpharetta, GA 30022-5374

Mailing address

5835 Lenox Park Pl
Buford, GA 30518-7690

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X6652 (GA)
Registered Dietitian Primary 133V00000X001471 (GA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1154442200

Mireille F. Ellis, PA's National Provider Identifier is 1154442200, issued on Apr 3, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Alpharetta, GA. The record was last updated on Apr 19, 2023.