IndividualActive
Carole Grant, RD,LD,CNSC
NPI 1609176882 · Metabolic Nutrition Registered Dietitian · Whiteriver, AZ
Provider details
- NPI number
- 1609176882
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD,LD,CNSC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LD003592 (GA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
200 West Hospital Drive
Whiteriver, AZ 85941
Phone: (928) 338-3647
Approximate (ZIP-level) locationGet directions
Mailing address
1081 E Cedar Ridge Run
Show Low, AZ 85901-7308
Registry dates
- Enumerated
- 2010-10-22
- Last updated
- 2012-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.