Provider Demographics
NPI:1194970327
Name:GUITTAR, REBECCA G (RD, LMNT)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:G
Last Name:GUITTAR
Suffix:
Gender:F
Credentials:RD, LMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N. 84TH ST
Mailing Address - Street 2:HY-VEE, INC
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505
Mailing Address - Country:US
Mailing Address - Phone:402-467-5505
Mailing Address - Fax:402-467-5517
Practice Address - Street 1:1601 N. 84TH ST.
Practice Address - Street 2:HY-VEE, INC
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505
Practice Address - Country:US
Practice Address - Phone:402-467-5505
Practice Address - Fax:402-467-5517
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE376133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered