NPI 1417977828 · live from the CMS NPI Registry
Ann Maher, LRD
Dietitian, Registered in Eagle Butte, SD. National Provider Identifier 1417977828, active.
NPI record
| NPI | 1417977828 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 315 Main St., Eagle Butte, SD 57625 |
| Practice phone | 605-964-8000 |
| Mailing address | Po Box 860, Eagle Butte, SD 57625 |
| Enumerated | July 20, 2006 |
| Last updated | August 22, 2008 |
| Sole proprietor | No |
| Other names | Ann Maher |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0325 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.