Provider Demographics
NPI:1750046306
Name:SOFRONIJOSKA RECE, BILJANA (RDN, LD, IFMCP)
Entity type:Individual
Prefix:MRS
First Name:BILJANA
Middle Name:
Last Name:SOFRONIJOSKA RECE
Suffix:
Gender:
Credentials:RDN, LD, IFMCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9130 W RUSSELL RD STE 210
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1358
Mailing Address - Country:US
Mailing Address - Phone:702-635-4669
Mailing Address - Fax:855-221-9008
Practice Address - Street 1:9130 W RUSSELL RD STE 210
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-1358
Practice Address - Country:US
Practice Address - Phone:702-635-4669
Practice Address - Fax:855-221-9008
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-08
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X, 133NN1002X, 133VN1006X, 133VN1201X
NV37897-DI-5133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV37897-DI-3OtherRD STATE LICENSE
NV97897-DI-5OtherRD STATE LICENSE
NV250016249Medicaid
NV97897-DI-4OtherRD STATE LICENSE