| Doctor Name: | MRS. CONNIE L PACKER |
| NPI Number: | 1023347739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CD |
| License Number: | 6324049-4901 |
| Business Practice Address: | 910 E 100 N Suite 105 Payson, UT - 846511635 |
| Business Phone Number: | 8018577440 |
| Business Fax Number: | 8663407791 |
| Mailing Address: | 374 S 1230 W, SPANISH FORK |
| State: | UT |
| Postal Code: | 846605531 |
| Phone Number: | 8018577440 |
| Fax Number: | 8663407791 |
| NPI Enumeration Date: | 12/09/2009 |
| NPI Last Update Date: | 12/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 6324049-4901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |