Individual provider · Type 1 NPI

Anick Diessongo

Registered Dietitian · Scott Air Force Base, IL

NPI number 1780463059 Active

Practice location

4711 Thomas Jefferson Cir Apt A
Scott Air Force Base, IL 62225-6225

Mailing address

19310 Wildcat Trl
Davidson, NC 28036-8882

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X164009254 (IL)

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 1780463059

Anick Diessongo's National Provider Identifier is 1780463059, issued on Sep 26, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Scott Air Force Base, IL. The record was last updated on Sep 26, 2023.