MEDICARE: ALLISON MIERA

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	40946-DI-0	NV

General Provider Information

NPI Number	:	1538967476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MIERA

Provider Business Mailing Address
First Line	:	8560 S EASTERN AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2833
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8560 S EASTERN AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2833
Country	:	US
Telephone Number	:	702-485-7235
Fax Number	:

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

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	03/06/2025

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Directions to “ ALLISON MIERA ” Practice Location

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