Andrea R Petersen in Osceola - Dietitian, Registered
Andrea R Petersen - NPI 1669661559
Andrea R Petersen is a Dietitian, Registered in Osceola, Wisconsin. Andrea R Petersen practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Andrea R Petersen is 1669661559. The last update date is 2010-10-21.
Andrea R Petersen's current location address is Po Box 218, Osceola, Wisconsin. You can contact this provider via phone number 7152942111 and fax number 7152942111. The mailing address for Andrea R Petersen is Po Box 218, Osceola, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea R Petersen |
|---|---|
| Address | Po Box 218, Osceola, Wisconsin |
| Phone Number | 7152942111 |
| Fax Number | 7152942111 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1669661559 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2010-10-21 |
Provider Mailing Address Detail
| Address | Po Box 218 |
|---|---|
| City | Osceola |
| State | Wisconsin (WI) |
| Post Code | 540203024 |
| Phone Number | 7152942111 |
| Fax Number | 7152942111 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 898228 |
|
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 |
|---|---|---|---|
| 898228 | WI | CERTIFICATE |
Post Comment/ Review Below
What is the Andrea R Petersen's 1669661559?
The Andrea R Petersen's NPI (National Provider Identifier) Number is 1669661559. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Andrea R Petersen is located?
The Andrea R Petersen is situated at the following address: Po Box 218, Osceola, WI, 540203024.
What is Andrea R Petersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea R Petersen's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
On what date did the Andrea R Petersen receive its 1669661559 assignment from the Centers for Medicare & Medicaid Services?
The Andrea R Petersen was assigned its 1669661559 by the Centers for Medicare & Medicaid Services on 2007-10-17.
When was the Andrea R Petersen's information last updated?
The Andrea R Petersen's information was last updated on 2010-10-21.
NPI Number: 1447253067
Address: 2115 N Kansas Ave Ste 105, Hastings, NE
NPI Number: 1306849773
Address: 3200 Ponce De Leon Blvd, Coral Gables, FL
NPI Number: 1053315846
Address: 1455 E Bert Kouns Loop, Shreveport, LA
NPI Number: 1164426896
Address: 600 Grant Street, Us Steel Tower, 59th Floor, Pittsburgh, PA