Ms Rebecca Kraxberger, RD | |
1003 Willow Creek Rd, Prescott, AZ 86301-1641 | |
(928) 759-5821 | |
Not Available |
Full Name | Ms Rebecca Kraxberger |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1003 Willow Creek Rd, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295192789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Nourish, Inc. |
---|---|
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 |
---|---|
Ms Rebecca Kraxberger, RD 1003 Willow Creek Rd, Prescott, AZ 86301-1641 Ph: (928) 759-5821 | Ms Rebecca Kraxberger, RD 1003 Willow Creek Rd, Prescott, AZ 86301-1641 Ph: (928) 759-5821 |
Emily Tholson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1819 Windy Walk Lane, Prescott, AZ 86305 Phone: 928-499-0912 | |
Wendy E Nelson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-2700 | |
Miss Sarah Katherine Hunt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-771-5168 | |
Amanda J Wikan, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 730 N Monarch Dr, Prescott, AZ 86305 Phone: 563-277-2015 | |
Mrs. Kathryn Kimball, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Clearwater Drive, Suite B, Prescott, AZ 86305 Phone: 928-515-1755 | |
Mr. George Mark Coram, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Navahcs 500 N Hwy 89, Prescott, AZ 86313 Phone: 928-445-4860 Fax: 928-717-7423 | |
Melissa Ellis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86314 Phone: 928-759-5821 Fax: 928-759-5827 |