Provider Demographics
NPI:1497558936
Name:BARNUM, RIANNA (CHN)
Entity type:Individual
Prefix:
First Name:RIANNA
Middle Name:
Last Name:BARNUM
Suffix:
Gender:F
Credentials:CHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 ARMADA PL
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-2305
Mailing Address - Country:US
Mailing Address - Phone:702-460-2892
Mailing Address - Fax:
Practice Address - Street 1:861 ARMADA PL
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-2305
Practice Address - Country:US
Practice Address - Phone:702-460-2892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist