Provider Demographics
NPI:1073819751
Name:PARASUGO, NATALIE KATHLEEN (RDN, LD)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:KATHLEEN
Last Name:PARASUGO
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4475 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-7826
Mailing Address - Country:US
Mailing Address - Phone:702-669-5911
Mailing Address - Fax:
Practice Address - Street 1:3277 E WARM SPRINGS RD STE 300
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3176
Practice Address - Country:US
Practice Address - Phone:702-475-4007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-28
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1022110133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered