MEDICARE: NANCY J PLASKETT MPH,RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	725453	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	725453	OTHER	NV	COMM. ON DIETETIC REG.

General Provider Information

NPI Number	:	1669468716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY J PLASKETT MPH,RD

Provider Business Mailing Address
First Line	:	6 STEPTOE CIR
Second Line	:
City	:	ELY
State	:	NV
Zip	:	89301-2500
Country	:	US
Telephone Number	:	775-289-2424
Fax Number	:	775-289-6423

Provider Business Practice Location Address
First Line	:	6 STEPTOE CIR
Second Line	:
City	:	ELY
State	:	NV
Zip	:	89301-2500
Country	:	US
Telephone Number	:	775-289-2424
Fax Number	:	775-289-6423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	07/08/2007

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