Doctor Name: | VERONICA ANNE HANDELAND |
NPI Number: | 1629272513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH,RD |
License Number: | 953011 |
Business Practice Address: | 111 Washington Ave Nw Wagner, SD - 573804300 |
Business Phone Number: | 6053843621 |
Business Fax Number: | 6053843293 |
Mailing Address: | 111 Washington Ave Nw, WAGNER |
State: | SD |
Postal Code: | 573804300 |
Phone Number: | 6053843621 |
Fax Number: | 6053843293 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 05/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 953011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |