Doctor Name: | STACY L FISHER-GUNN |
NPI Number: | 1629133145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | |
Business Practice Address: | 9414 Anderson Mill Rd Suite 101 Austin, TX - 787294428 |
Business Phone Number: | 5127450868 |
Business Fax Number: | 5126084624 |
Mailing Address: | Po Box 203098, AUSTIN |
State: | TX |
Postal Code: | 787203098 |
Phone Number: | 5127450868 |
Fax Number: | 8663720980 |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 02/02/2011 |
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 |