NPI 1093407660 · live from the CMS NPI Registry
Chrystal Marie Frances Lopez, RD
Dietitian, Registered in Sheridan, WY. National Provider Identifier 1093407660, active.
NPI record
| NPI | 1093407660 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1898 Fort Rd, Sheridan, WY 82801 |
| Practice phone | 307-675-3837 |
| Mailing address | 1459 Gladstone St, Sheridan, WY 82801 |
| Enumerated | May 23, 2023 |
| Last updated | May 23, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86131812 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.