Individual
VICTORIA R BUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
404 E WASHINGTON ST STE A, INDIANAPOLIS, IN 46204-2609
(317) 944-3500
(317) 962-2474
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003571A
IN
133VN1005X
Renal Nutrition Registered Dietitian
37003571A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102269486
ANTHEM PTAN
IN
01
—
264430G19
MEDICARE PTAN
IN
01
—
Q00624781
RAILROAD PTAN
IN
Enumeration date
10/10/2022
Last updated
04/02/2024
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