| Prairie View Creations Llc | |
|
8508 N Prairie Vw, Prescott Valley, AZ 86315-9089 | |
| (928) 772-8652 | |
| (928) 772-8078 |
| Full Name | Prairie View Creations Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 8508 N Prairie Vw, Prescott Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063979961 | NPI | - | NPPES |
| 488506 | Medicaid | AZ |
| Provider Name | Chad T Hetherwick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104023969 PECOS PAC ID: 7012937196 Enrollment ID: I20051205000283 |
| Provider Name | Kristin Lewis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447574173 PECOS PAC ID: 6305975145 Enrollment ID: I20100603000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie View Creations Llc Po Box 10214, Prescott, AZ 86304-0214 Ph: (928) 772-8652 | Prairie View Creations Llc 8508 N Prairie Vw, Prescott Valley, AZ 86315-9089 Ph: (928) 772-8652 |
Chad Hetherwick, MS, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8508 N Prairie Vw, Prescott Valley, AZ 86315 Phone: 928-772-8652 Fax: 928-772-8078 | |
Kristin Lewis, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8508 N Prairie Vw, Prescott Valley, AZ 86315 Phone: 928-772-8652 Fax: 928-772-8078 | |
Kelly Grace Aldrich, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6717 E 2nd St, Ste. D, Prescott Valley, AZ 86314 Phone: 928-771-3560 Fax: 928-771-3542 | |
Eon Consulting Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5835 N Elton Pl, Prescott Valley, AZ 86314 Phone: 923-300-1542 | |
Kristina Velasquez, RD, LD, CNSC. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3131 N Main St Apt A312, Prescott Valley, AZ 86314 Phone: 505-515-5783 | |
Mrs. Elisa Olivier-nielsen, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5835 N Elton Pl, Prescott Valley, AZ 86314 Phone: 923-300-1542 |