Basic Information
| Provider Information | |||||||||
| NPI: | 1275709339 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BILLS | ||||||||
| FirstName: | DENA | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | R.D., C.D., CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1300 N MAIN STREET | ||||||||
| Address2: | |||||||||
| City: | RUSHVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461731116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7659327061 | ||||||||
| FaxNumber: | 7659327062 | ||||||||
| Practice Location | |||||||||
| Address1: | 1300 N MAIN STREET | ||||||||
| Address2: | |||||||||
| City: | RUSHVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461731116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7659327416 | ||||||||
| FaxNumber: | 7659327525 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2008 | ||||||||
| LastUpdateDate: | 11/12/2022 | ||||||||
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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 | 163WD0400X | 79000005A | IN | N | Nursing Service Providers | Registered Nurse | Diabetes Educator | 133V00000X | 37000292A | IN | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.