Wellformed AI

NPI 1447515952 · live from the CMS NPI Registry

Laura Kathleen Bowermaster, RD, LD, CDE

Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1447515952, active.

NPI record

NPI1447515952 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location2901 Transport St Se, Albuquerque, NM 87106
Practice phone505-342-8408
Mailing addressPo Box 26028, Albuquerque, NM 87125
EnumeratedJuly 10, 2012
Last updatedAugust 22, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X402 (NM)

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