NPI 1679170476 · live from the CMS NPI Registry
Cheryl Lynn Coleman, MA, RD, LD
Dietitian, Registered in Hyde Park, UT. National Provider Identifier 1679170476, active.
NPI record
| NPI | 1679170476 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3935 N 75 W, Hyde Park, UT 84318 |
| Practice phone | 435-359-0720 |
| Mailing address | 288 Kentwood Dr, Alabaster, AL 35007 |
| Enumerated | October 5, 2020 |
| Last updated | October 5, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 117687574901 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.