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NPI 1366779969 · live from the CMS NPI Registry

Maurin Kay Fisher, MS, RD, LN

Dietitian, Registered in Flandreau, SD. National Provider Identifier 1366779969, active.

NPI record

NPI1366779969 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location701 W Broad Ave, Flandreau, SD 57028
Practice phone605-573-0141
EnumeratedNovember 3, 2009
Last updatedNovember 3, 2009
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X0281 (SD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.