Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDACE JORGENSEN
ActivePediatric Nutrition · LAS VEGAS, NV
Registration Details
- NPI Number
- 1205462991
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2020 (6.1097125361197 yrs)
- Last Updated
- Mar 13, 2020
- License
-
922445 (NV)
Practice Information
- Address
-
1161 S VALLEY VIEW BLVDLAS VEGAS, NV, 891021854Browse NV providers · Browse ZIP 89102
- Phone
- 7024867670
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| PAMELA NEYSA LONG | RDN | 1821712001 |
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.