NPI 1154773398 · live from the CMS NPI Registry
Mollie Jean Greenway, MS, RD, LN
Dietitian, Registered in Mitchell, SD. National Provider Identifier 1154773398, active.
NPI record
| NPI | 1154773398 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2808 Winsor Ct, Mitchell, SD 57301 |
| Practice phone | 605-380-2294 |
| Enumerated | July 12, 2016 |
| Last updated | July 12, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0466 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.