Individual provider · Type 1 NPI

Tamara Jean Nisly, REGISTERED DIETICIAN

Registered Dietitian · Cottonwood, AZ

NPI number 1386687648 Active

Practice location

10 S 6th St
Cottonwood, AZ 86326-4236

Call (928) 639-8130 Map

Fax (928) 639-8179

Mailing address

1090 Commerce Dr
Prescott, AZ 86305-3700

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X956889 (AZ)

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 1386687648

Tamara Jean Nisly, REGISTERED DIETICIAN's National Provider Identifier is 1386687648, issued on Jun 14, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Cottonwood, AZ. The record was last updated on Jul 13, 2026.