Healthcare Provider Details

I. General information

NPI: 1053906032
Provider Name (Legal Business Name): HANNAH CATHERINE ESKEW RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6321 HAWTHORN WOODS AVE
LAS VEGAS NV
89130-1389
US

IV. Provider business mailing address

6321 HAWTHORN WOODS AVE
LAS VEGAS NV
89130-1389
US

V. Phone/Fax

Practice location:
  • Phone: 970-689-8644
  • Fax:
Mailing address:
  • Phone: 970-689-8644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number39045-DI-0
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: