Wellformed AI

NPI 1942664867 · live from the CMS NPI Registry

Holly Ann Bishop Michaels, RD

Dietitian, Registered in Burlington, WY. National Provider Identifier 1942664867, active.

NPI record

NPI1942664867 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location962 Lane 42 1/2, Burlington, WY 82411
Practice phone801-836-3337
EnumeratedApril 6, 2016
Last updatedJanuary 13, 2024
Sole proprietorNo
Other namesHolly Bishop

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X288617 (KY)
Dietitian, Registered133V00000XMED-NUTR-LIC-128403 (MT)
Dietitian, Registered133V00000X7109563-4901 (UT)
Dietitian, Registered primary133V00000X214 (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.