Individual provider · Type 1 NPI

Edith Mary Clark, MBA, RD, CDE

Registered Dietitian · Phoenix, AZ

NPI number 1376632679 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Call (602) 263-1511 Map

Fax (602) 263-1619

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-0698

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X390874

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 1376632679

Edith Mary Clark, MBA, RD, CDE's National Provider Identifier is 1376632679, issued on Oct 12, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 9, 2007.