Heather L Gustafson in La Crosse - Dietitian, Registered
Heather L Gustafson - NPI 1073518676
Heather L Gustafson is a Dietitian, Registered in La Crosse, Wisconsin. Heather L Gustafson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Heather L Gustafson is 1073518676. The last update date is 2007-07-08.
Heather L Gustafson's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300 and fax number 6087754467. The mailing address for Heather L Gustafson is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather L Gustafson |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
| Sole Proprietor | X |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1073518676 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 5460154290 |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 397 |
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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 identifier code issued to Heather L Gustafson by the Centers for Medicare & Medicaid Services?
The Heather L Gustafson has been assigned the NPI (National Provider Identifier) 1073518676. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Heather L Gustafson?
The Heather L Gustafson is physically situated at 1836 South Ave, in the city of La Crosse, state of WI, with the postal code 5460154290.
What is Heather L Gustafson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Heather L Gustafson is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
On what date did the Heather L Gustafson receive its 1073518676 assignment from the Centers for Medicare & Medicaid Services?
The Heather L Gustafson was assigned its 1073518676 by the Centers for Medicare & Medicaid Services on 2005-06-20.
As of what date were the details pertaining to Heather L Gustafson last refreshed?
The information related to the Heather L Gustafson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.