NPI 1992076343 · live from the CMS NPI Registry
Jenna E Heller, R.D.
Dietitian, Registered in Laramie, WY. National Provider Identifier 1992076343, active.
NPI record
| NPI | 1992076343 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1000 E University Ave, Dept. 3414, Laramie, WY 82071 |
| Practice phone | 602-525-0425 |
| Enumerated | January 17, 2012 |
| Last updated | January 17, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1066232 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.