Kathryn Marie Spada, RDN | |
11636 Aruba Beach Ave, Las Vegas, NV 89138-7546 | |
(702) 286-5956 | |
Not Available |
Full Name | Kathryn Marie Spada |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 11636 Aruba Beach Ave, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861081168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 39125-DI-2 (Nevada) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Kathryn Marie Spada, RDN 11636 Aruba Beach Ave, Las Vegas, NV 89138-7546 Ph: (702) 286-5956 | Kathryn Marie Spada, RDN 11636 Aruba Beach Ave, Las Vegas, NV 89138-7546 Ph: (702) 286-5956 |
Dr. Virginia S Claudio, PHD, MNS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 S Rancho Dr, Suite 12, Las Vegas, NV 89106 Phone: 702-877-1887 Fax: 702-877-4536 | |
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Cheryl A Kapalka, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5400 S Rainbow Blvd, Las Vegas, NV 89118 Phone: 702-853-3087 | |
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Krysten Fletcher, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3532 Bella Valencia Ct, Las Vegas, NV 89141 Phone: 702-413-8035 | |
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