Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glendale Redbird Co

Organization Nutritionist · NPI 1598590291

Glendale Redbird Co is a Nutritionist in Glendale, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6

Practice location Address checks out

6637 N 58th Dr Apt 7
Glendale, AZ 85301-3900
Phone: (623) 624-5179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Peer Specialist Taxonomy 175T00000X
Point of Service Taxonomy 305S00000X
Private Vehicle Taxonomy 347C00000X
Transportation Broker Taxonomy 347E00000X

Record details

NPI number1598590291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mydung Phan — Cfo · (623) 624-5207
NPI enumeratedSeptember 4, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address6637 N 58th Dr Apt 3, Glendale, AZ 85301-3900

Other providers in Glendale