NPI 1194292987 · live from the CMS NPI Registry
Misty Dawn Blough Hildenbrand, MS, RD, LN
Dietitian, Registered in Watertown, SD. National Provider Identifier 1194292987, active.
NPI record
| NPI | 1194292987 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 401 9th Ave Nw, Watertown, SD 57201 |
| Practice phone | 605-882-7874 |
| Mailing address | 29 6th St Ne, Watertown, SD 57201 |
| Enumerated | October 30, 2018 |
| Last updated | October 30, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.