Healthcare Provider Details

I. General information

NPI: 1881914208
Provider Name (Legal Business Name): DONNA READY MPH, RD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5761 S FORT APACHE RD
LAS VEGAS NV
89148-5506
US

IV. Provider business mailing address

5761 S FORT APACHE RD
LAS VEGAS NV
89148-5506
US

V. Phone/Fax

Practice location:
  • Phone: 702-341-6610
  • Fax: 702-341-6961
Mailing address:
  • Phone: 702-341-6610
  • Fax: 702-341-6961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: