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Provider Information for 1023374584

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

KRISTA SKYE VIAU MS, RD, CSP, CD

Gender: FEMALE

Individual NPI: 1023374584

Calendar   Last Updated:  2012-04-09
  Certification Date: 

Details

Name Value
NPI 1023374584
Enumeration Date 2012-04-09
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 50 N MEDICAL DR SCHOOL OF MEDICINE, ROOM 2C412
SALT LAKE CITY, UT 84132-0001
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
United States

Phone: 801-587-9590 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 133VN1006X - Dietitian, Registered Nutrition, Metabolic UT 7416417-4901
No 133VN1004X - Dietitian, Registered Nutrition, Pediatric UT 7416417-4901