Provider Demographics
NPI:1891728937
Name:CHRANS, TAMI LYNN (RD)
Entity Type:Individual
Prefix:MRS
First Name:TAMI
Middle Name:LYNN
Last Name:CHRANS
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 1:4573 HEATHER GLEN CT
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-2402
Mailing Address - Country:US
Mailing Address - Phone:805-529-5321
Mailing Address - Fax:805-529-5321
Practice Address - Street 1:2876 SYCAMORE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1550
Practice Address - Country:US
Practice Address - Phone:805-527-8055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered