Individual provider · Type 1 NPI

Andrea Clark, RENAL DIETITIAN

Renal Nutrition Registered Dietitian · St. George, UT

NPI number 1710198528 Active

Practice location

720 S River Rd Ste D1100
St. George, UT 84790-5522

Mailing address

85 Medical Dr # 201
Salt Lake City, UT 84112-1100

Specialties and licenses

TaxonomyCodeLicense
Renal Nutrition Registered Dietitian Primary 133VN1005XNone listed

Renal Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrol…

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About NPI 1710198528

Andrea Clark, RENAL DIETITIAN's National Provider Identifier is 1710198528, issued on May 24, 2007. The primary taxonomy on file is Renal Nutrition Registered Dietitian (133VN1005X), and the practice location is in St. George, UT. The record was last updated on Jul 8, 2007.