Basic Information
| Provider Information | |||||||||
| NPI: | 1023173630 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAKANISHI | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RD,LD,CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 65 HOSPITAL DRIVE, CORNWELL CENTER | ||||||||
| Address2: | ARHI DIABETES CENTER | ||||||||
| City: | ATHENS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7405664870 | ||||||||
| FaxNumber: | 7405664871 | ||||||||
| Practice Location | |||||||||
| Address1: | 65 HOSPITAL DRIVE, CORNWELL CENTER | ||||||||
| Address2: | ARHI DIABETES CENTER | ||||||||
| City: | ATHENS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7405664870 | ||||||||
| FaxNumber: | 7405664871 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/26/2006 | ||||||||
| LastUpdateDate: | 04/22/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | LD.2877 | OH | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.