Individual provider · Type 1 NPI

Vladislava Ivanova

Registered Dietitian · Joint Base Lewis Mcchord, WA

NPI number 1306398276 Active

Practice location

9040 Jackson Ave
Joint Base Lewis Mcchord, WA 98431-4504

Mailing address

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

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 1306398276

Vladislava Ivanova's National Provider Identifier is 1306398276, issued on Oct 26, 2016. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Joint Base Lewis Mcchord, WA. The record was last updated on Feb 12, 2019.