NPI 1922432277 · live from the CMS NPI Registry
Georgia Fletcher Boley, MS,RD,LD,CSO
Dietitian, Registered in Sheridan, WY. National Provider Identifier 1922432277, active.
NPI record
| NPI | 1922432277 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 211 Smith St, Sheridan, WY 82801 |
| Practice phone | 307-752-8213 |
| Mailing address | 66 Box Cross Rd, Sheridan, WY 82801 |
| Enumerated | August 22, 2013 |
| Last updated | May 21, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 87227 (MT) |
| Dietitian, Registered primary | 133V00000X | 084 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.