NPI 1386469310 · live from the CMS NPI Registry
Alicia Mcconnell, RD
Dietitian, Registered in Lander, WY. National Provider Identifier 1386469310, active.
NPI record
| NPI | 1386469310 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 175 S 5th St, Lander, WY 82520 |
| Practice phone | 307-438-2033 |
| Mailing address | 343 Lyons Valley Rd, Lander, WY 82520 |
| Enumerated | November 15, 2024 |
| Last updated | November 15, 2024 |
| 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.