| Defy Diabetes, Llc | |
|
18301 N 79th Ave Ste C136, Glendale, AZ 85308-8471 | |
| (623) 500-6207 | |
| Not Available |
| Full Name | Defy Diabetes, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 18301 N 79th Ave Ste C136, Glendale, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053818963 | NPI | - | NPPES |
| 1609845916 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 926214 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Defy Diabetes, Llc 18301 N 79th Ave Ste C136, Glendale, AZ 85308-8471 Ph: (623) 500-6207 | Defy Diabetes, Llc 18301 N 79th Ave Ste C136, Glendale, AZ 85308-8471 Ph: (623) 500-6207 |
Am Nutrition Services Dietitian Medicare: Medicare Enrolled Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 | |
Cara Jansen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 | |
Madison Huot, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 11851 N 51st Ave, Glendale, AZ 85304 Phone: 480-882-4545 | |
Kelly Creed, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 | |
Ms. Kaitlyn Marie Shannon, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 Phone: 602-341-5248 Fax: 602-702-5219 | |
Ms. Kathryn Anne Mason, REGISTERED DIETITIAN Dietitian Medicare: Medicare Enrolled Practice Location: 17505 N 79th Ave, Suite 407, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |