Individual
AMANDA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
344 S 400 W, PROVO, UT 84601-4317
(770) 367-0248
Mailing address
344 S 400 W, PROVO, UT 84601-4317
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
40589-DI-0
NV
133V00000X
Registered Dietitian
Primary
86175855
UT
Other
Enumeration date
03/09/2021
Last updated
12/20/2024
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