Individual
NATHAN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4284
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4284
REGISTERED DIETITIAN STATE LICENSE
MA
01
—
86067011
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
07/27/2017
Last updated
03/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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