Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CORISSA SUE SPACKMAN, CNS, LDN, NBC-HWC
Active Sole ProprietorNutritionist · SHERIDAN, WY
Registration Details
- NPI Number
- 1326810417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2023 (2.534338896806 yrs)
- Last Updated
- Nov 1, 2024
- License
-
DX6913 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32 N GOULD ST STE RSHERIDAN, WY, 828016317Browse WY providers · Browse ZIP 82801
- Phone
- 3073433680
- Primary Specialty
-
Nutritionist
133N00000X
- Additional Specialty
- Nutrition, Education
- Additional Specialty
- Nutritionist
- Additional Specialty
- Health & Wellness Coach
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.