Provider Demographics
NPI:1235772245
Name:MESSERLI, KRISTIE LEE (RD)
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:LEE
Last Name:MESSERLI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3757 ALLEGRINI DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-6120
Mailing Address - Country:US
Mailing Address - Phone:775-842-7729
Mailing Address - Fax:
Practice Address - Street 1:3757 ALLEGRINI DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-6120
Practice Address - Country:US
Practice Address - Phone:775-842-7729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered