IndividualActive
Amy Ellis, MS, RD, LDN
NPI 1861741241 · Registered Dietitian · Alamo, NM
Provider details
- NPI number
- 1861741241
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- LD-0750 (NM)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
Highway 169 Mile Marker 29
Alamo, NM 87825-5907
Phone: (575) 854-2642
Fax: (575) 854-2606
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5907
Alamo, NM 87825-5907
Registry dates
- Enumerated
- 2012-08-31
- Last updated
- 2012-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.