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Amy Pendergraft
Pediatric Nutrition Registered Dietitian in Mesa, Arizona
NPI 1720436645

Amy Pendergraft is a Pediatric Nutrition Registered Dietitian based in Mesa, AZ and is specialized in Nutrition, Pediatric. Amy Pendergraft practices in Mesa, AZ. The NPI Number for Amy Pendergraft is 1720436645 and holds a License No. 879769 (Arizona).

The current practice location address for Amy Pendergraft is 1400 S Dobson Rd, Mesa, AZ and can be reached out via phone at 480-412-7863. You can also correspond with Amy Pendergraft through the mailing address at 1400 S DOBSON RD, MESA, AZ - 85202-4707 (mailing address contact number: 480-412-7863).

Location: 1400 S Dobson Rd, Mesa, AZ, 85202-4707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720436645
Provider Name
Amy Pendergraft
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 S Dobson Rd, Mesa, AZ, 85202-4707
Phone Number
480-412-7863
Fax Number
Provider Enumeration Date
06/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 S Dobson Rd
City
Mesa
State
Arizona
Zip
85202-4707
Phone Number
480-412-7863
Fax Number
person
Provider Business Mailing Address Details
Address
1400 S Dobson Rd
City
Mesa
State
Arizona
Zip
85202-4707
Phone Number
480-412-7863
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
879769 (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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