Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUSAN MARIE MANTERNACH, RD,LD,CDDE
ActiveMetabolic Nutrition · DUBUQUE, IA
Registration Details
- NPI Number
- 1073792644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2007 (18.476810748639 yrs)
- Last Updated
- Oct 30, 2007
- License
-
00564 (IA)
Practice Information
- Address
-
1560 UNIVERSITY AVEDUBUQUE, IA, 520014790Browse IA providers · Browse ZIP 52001
- Phone
- 5635894899
- Fax
- 5635894897
- Primary Specialty
-
Metabolic Nutrition
133VN1006X
Other Metabolic Nutrition Providers in DUBUQUE, IA
| Name | Credential | NPI |
|---|---|---|
| MAUREEN KAY OLSON | RDN, LDN, CNSC | 1366976110 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.