Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA ANNE SMITH
ActiveMELISSA ANNE SMITH is a Nutritionist healthcare provider located in CHAMPAIGN, Illinois. NPI 1164073979 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1164073979
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2019 (6.925586941831 yrs)
- Last Updated
- Sep 23, 2019
- License
-
164004906 (IL)
Practice Information
- Address
-
2501 FIELDS SOUTH DRCHAMPAIGN, IL, 618223733Browse IL providers · Browse ZIP 61822
- Phone
- 2172392713
- Fax
- 2173567964
- Primary Specialty
-
Nutritionist
133N00000X
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.