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

Pediatric Nutrition of Southern Nevada

Organization Pediatric Nutrition Registered Dietitian · NPI 1578380333

Pediatric Nutrition of Southern Nevada is a Pediatric Nutrition Registered Dietitian in Henderson, Nevada. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3148 Ecking Ave
Henderson, NV 89044-0291
Phone: (702) 813-4318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X

Record details

NPI number1578380333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Cisek — Registered Dietitian · (702) 813-4318
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address401 Ryland St Ste 200a, Reno, NV 89502-1643

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