Provider Demographics
NPI:1093691321
Name:HAFICH, NATALIA ELISE (RD, CSG)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:ELISE
Last Name:HAFICH
Suffix:
Gender:F
Credentials:RD, CSG
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:ELISE
Other - Last Name:BARBARI-HAFICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, CSG
Mailing Address - Street 1:3240 CORAL HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2288
Mailing Address - Country:US
Mailing Address - Phone:702-303-2249
Mailing Address - Fax:
Practice Address - Street 1:3240 CORAL HARBOR DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2288
Practice Address - Country:US
Practice Address - Phone:702-303-2249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV86152495133VN1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Gerontological