NPI 1710397377 · live from the CMS NPI Registry
Wendy Fisher
Dietitian, Registered in Espanola, NM. National Provider Identifier 1710397377, active.
NPI record
| NPI | 1710397377 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1010 Spruce St, Espanola, NM 87532 |
| Practice phone | 505-367-0365 |
| Enumerated | May 5, 2014 |
| Last updated | May 5, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-0910 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.