Healthcare Provider Details

I. General information

NPI: 1750046306
Provider Name (Legal Business Name): BILJANA SOFRONIJOSKA RECE RDN, LD, IFMCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8275 S EASTERN AVE STE 200
LAS VEGAS NV
89123-2545
US

IV. Provider business mailing address

8275 S EASTERN AVE STE 200
LAS VEGAS NV
89123-2545
US

V. Phone/Fax

Practice location:
  • Phone: 702-635-4669
  • Fax: 855-221-9008
Mailing address:
  • Phone: 702-635-4669
  • Fax: 855-221-9008

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 Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number37897-DI-5
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: