Doctor Name: | STEPHANIE AHLGREN |
NPI Number: | 1437565413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | ND6941 |
Business Practice Address: | 1514 1st St N Winter Haven, FL - 338812476 |
Business Phone Number: | 8632924280 |
Business Fax Number: | 8632924293 |
Mailing Address: | 950 County Road 17a W, AVON PARK |
State: | FL |
Postal Code: | 338252164 |
Phone Number: | 8634523060 |
Fax Number: | 8634523069 |
NPI Enumeration Date: | 07/10/2014 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND6941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |