Healthcare Provider Details

I. General information

NPI: 1598935090
Provider Name (Legal Business Name): RACHEL ERIN DEAL RD, CSOWM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2008
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6130 N LA CHOLLA BLVD STE 250
TUCSON AZ
85741-3698
US

IV. Provider business mailing address

6130 N LA CHOLLA BLVD STE 250
TUCSON AZ
85741-3698
US

V. Phone/Fax

Practice location:
  • Phone: 520-219-8690
  • Fax:
Mailing address:
  • Phone: 520-219-8690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: