NPI 1770107948 · live from the CMS NPI Registry
Big Horn Nutrition, LLC
Dietitian, Registered in Greybull, WY. National Provider Identifier 1770107948, active.
NPI record
| NPI | 1770107948 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1351 N 8th St, Greybull, WY 82426 |
| Practice phone | 307-679-4639 |
| Enumerated | June 3, 2020 |
| Last updated | June 3, 2020 |
| Authorized official | Tenika Eardley, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.