Wood, Talia R.

Wood, Talia R. is an individual health care provider with primary practice located at 1090 Goat Springs Road , Taos NM 87571-1946. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wood, Talia R. can be contacted via phone (575) 758-4224.

Contact Information

Primary practice address
1090 Goat Springs Road Taos NM 87571-1946
Phone: (575) 758-4224
Fax: (575) 751-5210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-0623 New Mexico

Profile Details

NPI number 1689908147
LBN Legal business name Wood, Talia R.
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2009
Last updated Apr 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689908147 NPPES
New Mexico Other 8HR149 MEDICARE PTAN
New Mexico MEDICAID K3543 MEDICARE PTAN
New Mexico MEDICAID 84600381 MEDICARE PTAN
New Mexico Other HSZ189 MEDICARE PTAN

Popular Providers