NPI 1881886653 · live from the CMS NPI Registry
Cynthia G Boynton, Licensed Dietician N
Nutritionist in Mishawaka, IN. National Provider Identifier 1881886653, active.
NPI record
| NPI | 1881886653 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nutritionist 133N00000X |
| Practice location | 410 Lincoln Way East, Mishawaka, IN 46544 |
| Practice phone | 574-259-5653 |
| Enumerated | August 15, 2007 |
| Last updated | August 15, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist primary | 133N00000X | 164003979 (IL) |
| Dietitian, Registered | 133V00000X | 164003979 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.