Organization · Type 2 NPI

Fremont Primary Care - Endocrinology

Metabolic Nutrition Registered Dietitian · Las Vegas, NV

NPI number 1295712693 Active

Practice location

4880 Wynn Rd
Las Vegas, NV 89103-5406

Fax (702) 939-8827

Mailing address

PO Box 1737
Las Vegas, NV 89125-1737

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XNone listed
Metabolic Nutrition Registered Dietitian Primary 133VN1006XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Nurse Practitioner 363L00000XNone listed

Metabolic Nutrition Registered Dietitian: A registered dietitian who achieves specialized competency in metabolic nutrition.

20 other providers at this address

About NPI 1295712693

Fremont Primary Care - Endocrinology's National Provider Identifier is 1295712693, issued on Dec 27, 2005. The primary taxonomy on file is Metabolic Nutrition Registered Dietitian (133VN1006X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 11, 2025.