Doctor Name: | SUZANNE M PATTISON |
NPI Number: | 1194053355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 37001826A |
Business Practice Address: | 10515 Illinois Rd Fort Wayne, IN - 468149182 |
Business Phone Number: | 2603739233 |
Business Fax Number: | 2603739219 |
Mailing Address: | 1234 E Dupont Rd, Suite 3 FORT WAYNE |
State: | IN |
Postal Code: | 468251545 |
Phone Number: | 2603739965 |
Fax Number: | 2604585664 |
NPI Enumeration Date: | 11/30/2009 |
NPI Last Update Date: | 02/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37001826A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |