| Laura Wisnieski, RD | |
|
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
| (702) 653-2901 | |
| Not Available |
| Full Name | Laura Wisnieski |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851643035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND6123 (Florida) | Primary |
| Provider Name | Nutrition In Motion |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174800577 PECOS PAC ID: 8123281938 Enrollment ID: O20120515000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Wisnieski, RD 6300 Mccarran St, Apt 2104, N Las Vegas, NV 89081-8135 Ph: () - | Laura Wisnieski, RD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2901 |
Rebekah Irene Suggs, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Mariah Jane Nelson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Jennifer Crosswhite, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3679 | |
Cristina Saxon Mccann, RD, LDN, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Carrissa Gail Thomas, M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3740 | |
Krisma Desportes, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4700 North Las Vegas Blvd, Nellis Afb, NV 89115 Phone: 702-653-2901 | |
Michelle Dejean, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3679 Fax: 702-653-2924 |