Heidi Lynn Clark in Travis Afb - Dietitian, Registered
Heidi Lynn Clark - NPI 1720154701
Heidi Lynn Clark is a Dietitian, Registered in Travis Afb, California. Heidi Lynn Clark practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Heidi Lynn Clark is 1720154701. The last update date is 2015-08-04.
Heidi Lynn Clark's current location address is 60 Mdg/mdts, Travis Afb, California. You can contact this provider via phone number 7074233665. The mailing address for Heidi Lynn Clark is 60 Mdg/mdts, Travis Afb, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heidi Lynn Clark |
|---|---|
| Address | 60 Mdg/mdts, Travis Afb, California |
| Phone Number | 7074233665 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1720154701 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2015-08-04 |
Provider Mailing Address Detail
| Address | 60 Mdg/mdts |
|---|---|
| City | Travis Afb |
| State | California (CA) |
| Post Code | 945351809 |
| Phone Number | 7074233665 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identification code assigned to Heidi Lynn Clark by the Centers for Medicare & Medicaid Services?
The Heidi Lynn Clark has been issued the NPI (National Provider Identifier) 1720154701. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Heidi Lynn Clark is physically located?
The Heidi Lynn Clark is situated at the following address: 60 Mdg/Mdts, Travis Afb, CA 945351809.
What is Heidi Lynn Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Heidi Lynn Clark is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
When was the Heidi Lynn Clark's 1720154701 issued?
The Heidi Lynn Clark's 1720154701 was issued on 2006-11-28.
As of what date was the information regarding Heidi Lynn Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Heidi Lynn Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-04.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC