Provider Demographics
NPI:1669703302
Name:DAY, MARY ELIZABETH (MS , RD)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:ELIZABETH
Last Name:DAY
Suffix:
Gender:F
Credentials:MS , RD
Other - Prefix:MS
Other - First Name:BETSY
Other - Middle Name:
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RD
Mailing Address - Street 1:900 S SHACKLEFORD RD
Mailing Address - Street 2:STE 300
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3848
Mailing Address - Country:US
Mailing Address - Phone:501-352-7535
Mailing Address - Fax:501-500-9370
Practice Address - Street 1:900 S SHACKLEFORD RD
Practice Address - Street 2:STE 300
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3848
Practice Address - Country:US
Practice Address - Phone:501-352-7535
Practice Address - Fax:501-500-6370
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered