Individual
KRISTA MARIE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6191
Mailing address
1000 N 90TH ST, SUITE 300, OMAHA, NE 68114-2764
(403) 955-6191
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1021
NE
133NN1002X
Nutrition Education Nutritionist
1021
NE
133V00000X
Registered Dietitian
1021
NE
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1021
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133VN1004X
PEDIATRIC NUTRITION
—
05
—
133VN1004X
—
NE
Enumeration date
12/06/2011
Last updated
04/06/2014
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