Individual provider · Type 1 NPI

Gwenivere Gordan Rose

Registered Dietitian · Chinle, AZ

NPI number 1972665081 Active

Practice location

Off Hwy 191 Hospital Road
Chinle, AZ 86503

Fax (928) 674-7705

Mailing address

PO Drawer Ph
Chinle, AZ 86503

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X805735 (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 1972665081

Gwenivere Gordan Rose's National Provider Identifier is 1972665081, issued on Dec 14, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Chinle, AZ. The record was last updated on Jul 8, 2007.