Provider Demographics
NPI:1669779062
Name:TRURAN, CASSIE (RD)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:
Last Name:TRURAN
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 1:10200 N 92ND ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4534
Mailing Address - Country:US
Mailing Address - Phone:480-391-3885
Mailing Address - Fax:480-391-3898
Practice Address - Street 1:10200 N 92ND ST
Practice Address - Street 2:SUITE 225
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4534
Practice Address - Country:US
Practice Address - Phone:480-391-3885
Practice Address - Fax:480-391-3898
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ932890133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered