NPI 1720464696 · live from the CMS NPI Registry
Catherine Holland, RD, CDE, LD
Dietitian, Registered in Jackson, WY. National Provider Identifier 1720464696, active.
NPI record
| NPI | 1720464696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 625 E Broadway Ave, Suite 114, Jackson, WY 83001 |
| Practice phone | 307-733-3636 |
| Mailing address | Po Box 428, Jackson, WY 83001 |
| Enumerated | August 3, 2015 |
| Last updated | August 3, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 116 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.