Provider Demographics
NPI:1760915326
Name:DUKE NUTRITION EXPERTS, LLC
Entity Type:Organization
Organization Name:DUKE NUTRITION EXPERTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:520-907-9587
Mailing Address - Street 1:1001 W CAMINO DESIERTO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4506
Mailing Address - Country:US
Mailing Address - Phone:520-907-9587
Mailing Address - Fax:
Practice Address - Street 1:1001 W CAMINO DESIERTO
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4506
Practice Address - Country:US
Practice Address - Phone:520-907-9587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty