Doctor Name: | MRS. KRISTEN LYNN BOCCHER |
NPI Number: | 1992030035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD/N |
License Number: | ND5480 |
Business Practice Address: | 405 Lake Howell Rd Maitland, FL - 327515926 |
Business Phone Number: | 4076710433 |
Business Fax Number: | |
Mailing Address: | 420 Pawnee Trl, MAITLAND |
State: | FL |
Postal Code: | 327514929 |
Phone Number: | 4072121111 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2009 |
NPI Last Update Date: | 10/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND5480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |