IndividualActive
Carrie Gustafson, RDN, LD
NPI 1306435169 · Renal Nutrition Registered Dietitian · San Antonio, TX
Provider details
- NPI number
- 1306435169
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- No
- License
- DT86371 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
915 S Laredo St Unit 200
San Antonio, TX 78204-3211
Phone: (520) 560-5583
Approximate (ZIP-level) locationGet directions
Mailing address
530 Paradise Hls
New Braunfels, TX 78132-2320
Registry dates
- Enumerated
- 2021-01-15
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.