Individual
AMY K MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LMNT
Contact information
Practice address
3533 PRAIRIEVIEW ST, GRAND ISLAND, NE 68803-4409
(308) 675-4551
Mailing address
3533 PRAIRIEVIEW ST, GRAND ISLAND, NE 68803-4409
(308) 675-4551
(308) 675-5015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
757
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
757
STATE OF NE
NE
01
—
915456
AMERICAN DIETETIC ASSOCIATION
—
Enumeration date
07/22/2009
Last updated
10/16/2023
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