Doctor Name: | MELINDA ELLSWORTH |
NPI Number: | 1861651275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 709845 |
Business Practice Address: | 308 N Maple Ave New Hampton, IA - 506591142 |
Business Phone Number: | 6413944121 |
Business Fax Number: | |
Mailing Address: | Po Box 1894, MASON CITY |
State: | IA |
Postal Code: | 504021894 |
Phone Number: | 6414943041 |
Fax Number: | 6414943059 |
NPI Enumeration Date: | 06/02/2008 |
NPI Last Update Date: | 06/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 709845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |