Individual provider · Type 1 NPI

Glen P. Revere, R.D., C.D.E.

Registered Dietitian · Parker, AZ

NPI number 1477628980 Active

Practice location

12033 Agency Rd
Parker, AZ 85344-7718

Call (928) 669-2137 Map

Fax (928) 669-3131

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X473669

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 1477628980

Glen P. Revere, R.D., C.D.E.'s National Provider Identifier is 1477628980, issued on Nov 21, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Parker, AZ. The record was last updated on Jul 8, 2007.