MEDICARE: HANNAH CATHERINE ESKEW RDN, LD

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	39045-DI-0	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	39045-DI-0	OTHER	NV	STATE LICENSURE - COMMISSION ON DIETETIC REGISTRATION
2	86037023	OTHER		COMMISSION ON DIETETIC REGISTRATION (CDR)

General Provider Information

NPI Number	:	1053906032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH CATHERINE ESKEW RDN, LD

Provider Business Mailing Address
First Line	:	6321 HAWTHORN WOODS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-1389
Country	:	US
Telephone Number	:	970-689-8644
Fax Number	:

Provider Business Practice Location Address
First Line	:	6321 HAWTHORN WOODS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-1389
Country	:	US
Telephone Number	:	970-689-8644
Fax Number	:

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

Provider Enumeration Date	:	03/02/2021
Last Update Date	:	03/02/2021

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