NPI 1629460449 · live from the CMS NPI Registry
Teresa Matheny
Dietitian, Registered in Laramie, WY. National Provider Identifier 1629460449, active.
NPI record
| NPI | 1629460449 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3222 Hayford Ave, Laramie, WY 82072 |
| Practice phone | 307-755-4461 |
| Enumerated | March 3, 2015 |
| Last updated | March 3, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 62 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.