NPI 1831566348 · live from the CMS NPI Registry
Stephanie Amstutz
Dietitian, Registered in Fort Wayne, IN. National Provider Identifier 1831566348, active.
NPI record
| NPI | 1831566348 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3909 New Vision Dr, Fort Wayne, IN 46845 |
| Practice phone | 260-373-7491 |
| Mailing address | 1234 E Dupont Rd, Suite 1, Fort Wayne, IN 46825 |
| Enumerated | September 1, 2015 |
| Last updated | September 1, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37002554A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.