| Ms Tamara Jean Nisly, REGISTERED DIETICIAN | |
|
10 S 6th St, Cottonwood, AZ 86326-4236 | |
| (928) 639-8130 | |
| (928) 639-8179 |
| Full Name | Ms Tamara Jean Nisly |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 10 S 6th St, Cottonwood, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386687648 | NPI | - | NPPES |
| 095604 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 956889 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tamara Jean Nisly, REGISTERED DIETICIAN 1090 Commerce Dr, Prescott, AZ 86305-3700 Ph: (928) 771-3122 | Ms Tamara Jean Nisly, REGISTERED DIETICIAN 10 S 6th St, Cottonwood, AZ 86326-4236 Ph: (928) 639-8130 |
Lisa Hill, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S. Candy Lane, Cottonwood, AZ 86326 Phone: 928-639-6543 Fax: 928-639-6340 | |
Riley Benjamin Johnson, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6557 Fax: 928-639-6340 | |
Donna M Lucas, R.D,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6543 Fax: 928-639-6340 | |
Najva Sadeghi, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6575 Fax: 928-639-6340 | |
Kim Marie Reed, RD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S. Candy Lane, Cottonwood, AZ 86326 Phone: 928-639-6557 | |
Suzanne Maestas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6557 |