IndividualActive
Andrea Clark, RENAL DIETITIAN
NPI 1710198528 · Renal Nutrition Registered Dietitian · St George, UT
Provider details
- NPI number
- 1710198528
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RENAL DIETITIAN
- Sex
- Female
- Sole proprietor
- No
Practice location
720 S River Rd Ste D1100
St George, UT 84790-5522
Phone: (435) 656-0857
Mailing address
85 Medical Dr # 201
Salt Lake City, UT 84112-1100
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.