NPI 1891296554 · live from the CMS NPI Registry
Amanda Marcella Allen, MS, RDN, LD
Dietitian, Registered in Springfield, MO. National Provider Identifier 1891296554, active.
NPI record
| NPI | 1891296554 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1720 W Battlefield St, Springfield, MO 65807 |
| Practice phone | 417-881-1950 |
| Enumerated | February 27, 2018 |
| Last updated | February 27, 2018 |
| Sole proprietor | No |
| Other names | Amanda Broombaugh |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2016030257 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.