NPI 1043454762 · live from the CMS NPI Registry
Julie Ann Austin
Dietitian, Registered in Wyoming, MI. National Provider Identifier 1043454762, active.
NPI record
| NPI | 1043454762 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 5900 Byron Center Ave Sw, Wyoming, MI 49519 |
| Practice phone | 616-252-7000 |
| Enumerated | April 24, 2009 |
| Last updated | April 24, 2009 |
| Sole proprietor | Yes |
| Other names | Julie Lane/Tatara |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 923445 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.