Individual provider · Type 1 NPI

Koran Bianca Watson

Registered Dietitian · Philadelphia, PA

NPI number 1174162572 Active

Practice location

21 S 11th St
Philadelphia, PA 19107-4223

Call (267) 209-3245 Map

Fax (267) 907-8591

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XDN006020 (PA)
Registered Dietitian Primary 133V00000XDN0006020 (PA)

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 1174162572

Koran Bianca Watson's National Provider Identifier is 1174162572, issued on Jan 2, 2020. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 12, 2022.