Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN P REVERE, R.D., C.D.E.
Active Sole ProprietorGLEN P REVERE, R.D., C.D.E. is a Registered Dietitian healthcare provider located in PARKER, Arizona. NPI 1477628980 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · PARKER, AZ
Registration Details
- NPI Number
- 1477628980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.687771877919 yrs)
- Last Updated
- Jul 8, 2007
- License
-
473669
- Sole Proprietor
- Yes
Practice Information
- Address
-
12033 AGENCY RDPARKER, AZ, 853447718Browse AZ providers · Browse ZIP 85344
- Phone
- 9286692137
- Fax
- 9286693131
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in PARKER, AZ
| Name | Credential | NPI |
|---|---|---|
| ANN M FARRAR | R.D. | 1821306333 |
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.