Provider Demographics
NPI:1811624828
Name:CAIN, ALLISON PAIGE (RD)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:PAIGE
Last Name:CAIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:PAIGE
Other - Last Name:CAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ALLISON MCNELLY
Mailing Address - Street 1:1130 E MISSOURI AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2717
Mailing Address - Country:US
Mailing Address - Phone:928-607-9505
Mailing Address - Fax:
Practice Address - Street 1:1130 E MISSOURI AVE STE 700
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2717
Practice Address - Country:US
Practice Address - Phone:928-607-9505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered