Doctor Name: | NAN MANSFIELD |
NPI Number: | 1114078458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 001021 |
Business Practice Address: | 600 Fitch St Elmira, NY - 149051634 |
Business Phone Number: | 6077378151 |
Business Fax Number: | 6077378104 |
Mailing Address: | 722 W Water St, ELMIRA |
State: | NY |
Postal Code: | 149052435 |
Phone Number: | 6072712050 |
Fax Number: | 6072712099 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 001021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |