Nellie Susan Tucker R.D.

NPI 1093896920 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1093896920
Gender Female
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
921 NE 13TH ST
NFS 120
OKLAHOMA CITY OK, 73104-5007, US
Phone (405) 270-0501
Fax (405) 297-5914
Business Location
NORMAN OK, 73072-4622, US
Phone (405) 573-1433
Taxonomy Code 133V00000X
License State Oklahoma
License Number 652
Remove 1093896920 NPI Number

According to our database, Nellie Susan Tucker R.D. NPI is 1093896920, taxonomy code is 133V00000X and license number is 652, license state is located at Oklahoma. Nellie Susan Tucker R.D. physically located at 921 Ne 13th St, Oklahoma City OK, 73104-5007. NPI Number Nellie Susan Tucker R.D. has the Individual type.

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1093896920 NPI number is provided on an as is basis without warranty of any kind. 1093896920 is maintained by the National Plan & Provider Enumeration System. The contents of Nellie Susan Tucker R.D. are for informational purposes only.