Individual provider · Type 1 NPI
Elizabeth B. Revilla, MS, RD, LD, CSP
Pediatric Nutrition Registered Dietitian · Atlanta, GA
Practice location
1547 Clifton Rd NE
Atlanta, GA 30322-4008
Fax (404) 727-4828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nutrition Registered Dietitian Primary | 133VN1004X | LD002723 (GA) |
Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…
3 other providers at this address
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About NPI 1265631436
Elizabeth B. Revilla, MS, RD, LD, CSP's National Provider Identifier is 1265631436, issued on Jul 17, 2007. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Atlanta, GA. The record was last updated on Jul 17, 2007.