IndividualActive
Gail Prosser, RD, CDE
NPI 1083775365 · Pediatric Nutrition Registered Dietitian · Santa Rosa, CA
Provider details
- NPI number
- 1083775365
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CDE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 017009 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3925 Old Redwood Hwy
Dept of Pediatrics
Santa Rosa, CA 95403-1719
Phone: (707) 566-5358
Fax: (707) 566-5292
Approximate (ZIP-level) locationGet directions
Mailing address
3925 Old Redwood Hwy
Santa Rosa, CA 95403-1719
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2022-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.