ETHEL FREDRICKSON NPI 1154802866

NPI Information

Ethel Fredrickson is a nutritionist in Lake Village, AR. The provider is a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. Ethel Fredrickson NPI is 1154802866. 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:

1345 CIRCLE DR
LAKE VILLAGE, AR
ZIP 71653-593
Phone: (870) 265-0921
Fax: (844) 270-1949

The enumeration date for this NPI number is 8/22/2018 and was last updated on 8/22/2018.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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