Individual
AIMEE HALVORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
16560 N DYSART RD, SURPRISE, AZ 85374-3717
(623) 546-2294
(623) 544-3210
Mailing address
12550 W THUNDERBIRD RD, SUITE 102, EL MIRAGE, AZ 85335-4918
(623) 556-8860
(623) 876-9559
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
2071-0117
AZ
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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