Individual provider · Type 1 NPI

Elaine Gilliam, M.N.T.

Registered Dietetic Technician · Indianapolis, IN

NPI number 1225050198 Active

Practice location

5230 E Stop 11 Rd, Suite 150
Indianapolis, IN 46237-6339

Call (317) 865-5904 Map

Fax (317) 865-5321

Mailing address

PO Box 664056
Indianapolis, IN 46266-4056

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000XNone listed

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…

12 other providers at this address

About NPI 1225050198

Elaine Gilliam, M.N.T.'s National Provider Identifier is 1225050198, issued on Jul 23, 2006. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 22, 2013.