NPI 1609414069 · live from the CMS NPI Registry
Morgan Atherton
Dietitian, Registered in Anna, IL. National Provider Identifier 1609414069, active.
NPI record
| NPI | 1609414069 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 513 N Main St, Anna, IL 62906 |
| Practice phone | 618-833-4471 |
| Enumerated | December 17, 2019 |
| Last updated | December 17, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164007821 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.