Doctor Name: | MRS. YVONNE BIRGITTA TAPPER-GARDZINA |
NPI Number: | 1871579151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, R.D. |
License Number: | D-455 |
Business Practice Address: | 380 Aardvark Ave Mountain Home A F B, ID - 836485138 |
Business Phone Number: | 2088281238 |
Business Fax Number: | |
Mailing Address: | 18 Spruce St, Unit A MOUNTAIN HOME A F B |
State: | ID |
Postal Code: | 836481480 |
Phone Number: | 2088325186 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D-455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |