Deborah Lynne Musselman in Rockford - Nutrition, Renal
Deborah Lynne Musselman - NPI 1578519302
Deborah Lynne Musselman is a Nutrition, Renal in Rockford, Illinois. Deborah Lynne Musselman practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Deborah Lynne Musselman is 1578519302. The last update date is 2008-06-26.
Deborah Lynne Musselman's current location address is 612 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8152278300 and fax number 8152278301. The mailing address for Deborah Lynne Musselman is 612 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Lynne Musselman |
|---|---|
| Address | 612 Roxbury Rd, Rockford, Illinois |
| Phone Number | 8152278300 |
| Fax Number | 8152278301 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1578519302 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 612 Roxbury Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611075089 |
| Phone Number | 8152278300 |
| Fax Number | 8152278301 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | 164003247 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the Deborah Lynne Musselman's 1578519302?
The Deborah Lynne Musselman's NPI (National Provider Identifier) Number is 1578519302. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Deborah Lynne Musselman?
The Deborah Lynne Musselman is situated at 612 Roxbury Rd, in the city of Rockford, state of IL, with the zip code 611075089.
What is the Deborah Lynne Musselman's specialty and taxonomy code?
The Deborah Lynne Musselman's specialty is Nutrition, Renal, and the corresponding taxonomy code is 133Vn1005X.
When was the Deborah Lynne Musselman's 1578519302 issued?
The Deborah Lynne Musselman's 1578519302 was issued on 2006-05-25.
When was the information related to Deborah Lynne Musselman most recently updated or refreshed?
The details pertaining to the Deborah Lynne Musselman, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-26.
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