IndividualActive
Lisa Vanatta, MS, RDN, CSP
NPI 1851856041 · Pediatric Nutrition Registered Dietitian · Phoenix, AZ
Provider details
- NPI number
- 1851856041
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, CSP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Pediatric Nutrition Registered Dietitian133VN1004X
Dietary & Nutritional Service Providers
Practice location
1919 E Thomas Rd Bldg 3
Phoenix, AZ 85016-7710
Phone: (602) 933-0970
Fax: (602) 933-4253
Approximate (ZIP-level) locationGet directions
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Registry dates
- Enumerated
- 2019-02-01
- Last updated
- 2019-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.