Doctor Name: | KATHERINE FOSSMAN |
NPI Number: | 1275914921 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDN, LD |
License Number: | 101197 |
Business Practice Address: | 55 Haines Hwy Box 887 Haines, AK - 998279800 |
Business Phone Number: | 8603353733 |
Business Fax Number: | |
Mailing Address: | Po Box 887, HAINES |
State: | AK |
Postal Code: | 998270887 |
Phone Number: | 9077663555 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2015 |
NPI Last Update Date: | 07/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 101197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |