MRS. SUSAN MARIE MANTERNACH RDLDCDDE NPI 1073792644

NPI Information

NPI: 1073792644
Provider Name: MRS. SUSAN MARIE MANTERNACH, RD,LD,CDDE
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
1560 UNIVERSITY AVE
DUBUQUE, IA
ZIP 52001
Phone: (563) 589-4899
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MRS. Susan Marie Manternach, RD,LD,CDDE is a nutrition and metabolic dietitian registered in Dubuque, IA. MRS. Susan Marie Manternach, RD,LD,CDDE NPI is 1073792644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1560 UNIVERSITY AVE
DUBUQUE, IA
ZIP 52001-790
Phone: (563) 589-4899
Fax: (563) 589-4897

The enumeration date for this NPI number is 10/30/2007 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	00564	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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