Doctor Name: | MRS. MARTHA NICOLE MCCLURG |
NPI Number: | 1306287677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH, RD, LD |
License Number: | 002137 |
Business Practice Address: | 1520 - 6th St. Sw Cedar Rapids, IA - 524044700 |
Business Phone Number: | 3193639606 |
Business Fax Number: | 3193568674 |
Mailing Address: | 1520 - 6th St. Sw, CEDAR RAPIDS |
State: | IA |
Postal Code: | 524044700 |
Phone Number: | 3193639606 |
Fax Number: | 3193568674 |
NPI Enumeration Date: | 07/15/2013 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 002137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |