Taylor Wahl, RD | |
10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | |
(623) 399-6825 | |
(623) 505-3474 |
Full Name | Taylor Wahl |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 10750 W Mcdowell Rd Ste A300, Avondale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912618778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86297772 (Arizona) | Primary |
Provider Name | Am Nutrition Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003011602 PECOS PAC ID: 1254430580 Enrollment ID: O20070627000063 |
Mailing Address | Practice Location Address |
---|---|
Taylor Wahl, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825 | Taylor Wahl, RD 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 Ph: (623) 399-6825 |
Haley Mollhagen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 | |
Jacqueline Badine, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1513 S 121st Dr, Avondale, AZ 85323 Phone: 602-770-5086 | |
Krupa Mathew Chackalackal, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 | |
Diana Mrozek, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 | |
Maddalyn Deitchman, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 | |
Hannah Lacey, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 | |
Mia Tomasula, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10825 W Mcdowell Rd Ste 220, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 |