IndividualActive
Diane Selleck, RD
NPI 1750503900 · Metabolic Nutrition Registered Dietitian · Parker, AZ
Provider details
- NPI number
- 1750503900
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 932530
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
12033 Agency Rd
Parker, AZ 85344-7718
Phone: (928) 669-3283
Approximate (ZIP-level) locationGet directions
Mailing address
122 Sunflower Dr
Lake Havasu City, AZ 86403-6658
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.