GLENDA BJORNSON


Address: 23596 Clarewood St, Macomb, MI 48042-4828
Phone: 5862196150

GLENDA BJORNSON (NPI# 1275765737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275765737
Entity Type Individual
Full Name GLENDA BJORNSON
Credential R.D.
Practice Address 23596 Clarewood St
Macomb
MI 48042-4828
Practice Telephone 5862196150
Mailing Telephone 5862196150
Enumeration Date 2009-08-18
Last Update Date 2009-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
Dietary & Nutritional Service Providers

Office Location

Street Address 23596 CLAREWOOD ST
City MACOMB
State MI
Zip Code 48042-4828

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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

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Competitor

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City MACOMB
Zip Code 48042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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