Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE LYNN HENDERSON, RD LD
Active Sole ProprietorSTEPHANIE LYNN HENDERSON, RD LD is a Registered Dietitian healthcare provider located in BLACKFOOT, Idaho. NPI 1528373313 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BLACKFOOT, ID
Registration Details
- NPI Number
- 1528373313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2010 (15.952275313099 yrs)
- Last Updated
- Jul 7, 2011
- License
-
D-629 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1555 VERNON AVEBLACKFOOT, ID, 83221Browse ID providers · Browse ZIP 83221
- Phone
- 3073990139
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| KATHY PUCKETT | RDLDCDE | 1891006102 |
| JAN WILLIAMSON | RD,LD | 1346552486 |
| CAMILE MICHAELSON | RD, LD | 1629380654 |
| SHAWNA DURBIN | — | 1407277940 |
| ALLISON MAROTZ | REGISTERED DIETITIAN | 1730563248 |
| KYWNYNN MADSEN | — | 1770111924 |
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.