Individual
MICHELLE A BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDE
Contact information
Practice address
1237 S VAL VISTA DR, MESA, AZ 85204-6401
(480) 294-6543
(480) 294-6544
Mailing address
PO BOX 1564, MESA, AZ 85211-1564
(480) 294-6543
(480) 294-6544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
805576
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167785
—
AZ
01
—
21110036
NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
—
01
—
805576
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
05/24/2006
Last updated
03/30/2015
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