Individual
ALEXANDRA RENEA NUSSBAUMER GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CLC
Contact information
Practice address
6829 MOUNTAIN SHADOW DR, KNOXVILLE, TN 37918-6317
(865) 659-1696
Mailing address
829 S CIRCLE DR APT 110D, COLORADO SPRINGS, CO 80910-2338
(865) 659-1696
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4200
TN
Other
Enumeration date
12/06/2021
Last updated
02/16/2023
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