NPI 1700138716 · live from the CMS NPI Registry
Heather M Boline, RD, LD
Dietitian, Registered in Joplin, MO. National Provider Identifier 1700138716, active.
NPI record
| NPI | 1700138716 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 932 E 34th St, Joplin, MO 64804 |
| Practice phone | 417-347-5642 |
| Enumerated | October 15, 2012 |
| Last updated | October 15, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2004004240 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.