Doctor Name: | MRS. AMY SUZANNE PETERSON |
NPI Number: | 1518918028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD |
License Number: | |
Business Practice Address: | 2350 Fairchild Dr U S A F Academy, CO - 808406297 |
Business Phone Number: | 7193330258 |
Business Fax Number: | |
Mailing Address: | 6773 Abbeywood Dr, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809225452 |
Phone Number: | 7192823825 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |