Susan R Willyard in Mayville - Dietitian, Registered
Susan R Willyard - NPI 1003996786
Susan R Willyard is a Dietitian, Registered in Mayville, North Dakota. Susan R Willyard practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan R Willyard is 1003996786. The last update date is 2007-07-08.
Susan R Willyard's current location address is 42 6th Ave Se, Mayville, North Dakota. You can contact this provider via phone number 7017883800 and fax number 7017882145. The mailing address for Susan R Willyard is 42 6th Ave Se, Mayville, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan R Willyard |
|---|---|
| Address | 42 6th Ave Se, Mayville, North Dakota |
| Phone Number | 7017883800 |
| Fax Number | 7017882145 |
| Sole Proprietor | N |
| Credentials | DIETITIAN |
NPI Number Detail
| NPI Number | 1003996786 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 42 6th Ave Se |
|---|---|
| City | Mayville |
| State | North Dakota (ND) |
| Post Code | 58257 |
| Phone Number | 7017883800 |
| Fax Number | 7017882145 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 182 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14397 | BLUE SHIELD |
Post Comment/ Review Below
What is the Susan R Willyard's 1003996786?
The Susan R Willyard's NPI (National Provider Identifier) Number is 1003996786. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan R Willyard's facilities are situated?
The facilities of Susan R Willyard are physically located at the following address: 42 6Th Ave Se, Mayville, ND, 58257.
What is Susan R Willyard'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 Susan R Willyard is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003996786 to Susan R Willyard?
The Susan R Willyard received its 1003996786 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date were the details pertaining to Susan R Willyard last refreshed?
The information related to the Susan R Willyard, including its address, specialty, and other relevant details, was last updated on 2007-07-08.