IndividualActive
Kimberly Nishiyama, DTR
NPI 1003308487 · Registered Dietetic Technician · Glendale, AZ
Provider details
- NPI number
- 1003308487
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
- License
- 86092429 (AZ)
Mailing address
20325 N 51st Ave Ste 166
Glendale, AZ 85308-4624
Registry dates
- Enumerated
- 2018-06-01
- Last updated
- 2018-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.