Doctor Name: | SHERYL ANN EDGERLY |
NPI Number: | 1679687578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD LD |
License Number: | DT04082 |
Business Practice Address: | 3030 North St Suite 310 Beaumont, TX - 777021433 |
Business Phone Number: | 4098922111 |
Business Fax Number: | 4098922173 |
Mailing Address: | Po Box 12499, BEAUMONT |
State: | TX |
Postal Code: | 777262499 |
Phone Number: | 4098922111 |
Fax Number: | 4098922173 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT04082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |