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Ms. Nina Dougherty
Pediatric Nutrition Registered Dietitian in Santa Fe, New Mexico
NPI 1518162205

Nina Dougherty is a Pediatric Nutrition Registered Dietitian based in Santa Fe, NM and is specialized in Nutrition, Pediatric. Nina Dougherty practices in Santa Fe, NM. The NPI Number for Nina Dougherty is 1518162205 and holds a License No. 054 (New Mexico).

The current practice location address for Nina Dougherty is 28 General Sage Dr, Santa Fe, NM and can be reached out via phone at 505-988-1899 and via fax at 505-988-1899.

Location: 28 General Sage Dr, Santa Fe, NM, 87505-6395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518162205
Provider Name
Nina Dougherty
Credential
Provider Entity Type
Individual
Gender
Female
Address
28 General Sage Dr, Santa Fe, NM, 87505-6395
Phone Number
505-988-1899
Fax Number
505-988-1899
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001179553000 01 NM CRS-1FILER'S KIT
institution
Provider Business Practice Location Address Details
Address
28 General Sage Dr
City
Santa Fe
State
New Mexico
Zip
87505-6395
Phone Number
505-988-1899
Fax Number
505-988-1899
person
Provider Business Mailing Address Details
Address
28 General Sage Dr
City
Santa Fe
State
New Mexico
Zip
87505-6395
Phone Number
505-988-1899
Fax Number
505-988-1899
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
054 (New Mexico)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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