Individual provider · Type 1 NPI
Alice Gail Moon, MSRD, PAC
Registered Dietitian · Livonia, MI
Practice location
20010 Farmington Rd
Livonia, MI 48152-1408
Fax (248) 471-1212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 577469 (MI) |
| Physician Assistant | 363A00000X | 5601002478 (MI) |
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 1790724011
Alice Gail Moon, MSRD, PAC's National Provider Identifier is 1790724011, issued on Jun 5, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Livonia, MI. The record was last updated on Jul 13, 2026.