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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYNN ANN CLAUSSEN, RDN, CSSD, LDN

Active Sole Proprietor

Sports Dietetics · KIRTLAND AFB, NM

Registration Details

NPI Number
1164210282
Provider Type
Individual
Gender
Female
NPI Issued
Apr 28, 2025 (0.98391608840392 yrs)
Last Updated
Jun 24, 2025
Licenses
NDP-2025-0048 (NM)
164.010524 (IL)
Sole Proprietor
Yes

Practice Information

Address
2050A 2ND ST SE
KIRTLAND AFB, NM, 871175901
Browse NM providers · Browse ZIP 87117
Phone
5058463200
Primary Specialty
Sports Dietetics
133VN1501X
Additional Specialty
Sports Dietetics

Other Sports Dietetics Providers in KIRTLAND AFB, NM

Name Credential NPI
JULIA ZALEWSKI 1861184368
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.