Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY E DUTCHER, CDE
ActivePediatric Nutrition · DES MOINES, IA
Registration Details
- NPI Number
- 1295895191
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2006 (19.361540327418 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00116 (IA)
Practice Information
- Address
-
1215 PLEASANT ST STE 300BLANK CHILDREN'S HEALTH CENTER IIDES MOINES, IA, 503091416Browse IA providers · Browse ZIP 50309
- Phone
- 5152416500
- Fax
- 5152418911
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.