NPI 1225064074 · live from the CMS NPI Registry
Nicole L Boysen, RD
Dietitian, Registered in Farmington, MO. National Provider Identifier 1225064074, active.
NPI record
| NPI | 1225064074 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1212 Weber Road, Farmington, MO 63640 |
| Practice phone | 573-756-4581 |
| Enumerated | June 23, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2006008944 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.