Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AMY CANTRELL, RD, LD
ActivePediatric Nutrition · TEMPLE, TX
Registration Details
- NPI Number
- 1710107347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2007 (19.004080724397 yrs)
- Last Updated
- Oct 7, 2020
- License
-
DT04104 (TX)
Practice Information
- Address
-
2401 S 31ST STSCOTT & WHITE HOSPITAL MS 09-CW403TEMPLE, TX, 765080001Browse TX providers · Browse ZIP 76508
- Phone
- 2547248726
- Fax
- 2547241425
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.