Organization
NUTRICADDY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NETRO MCKAY RDN (CLINICAL NUTRITION MANAGER)
(832) 477-4777
Entity
Organization
Contact information
Practice address
14 GREENWAY PLZ UNIT 13O, HOUSTON, TX 77046-1421
(832) 477-4777
Mailing address
14 GREENWAY PLZ UNIT 13O, HOUSTON, TX 77046-1421
(832) 477-4777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39630-DIE-0
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NV
01
—
DT84107
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
01
—
L005942
NORTH CAROLINA BOARD OF DIETETICS
NC
Enumeration date
10/29/2019
Last updated
10/29/2019
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