Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOWARD WILLIAM EDMISTON IV, MS, RD, LD
Active Sole ProprietorHOWARD WILLIAM EDMISTON IV, MS, RD, LD is a Registered Dietitian healthcare provider located in RUIDOSO, New Mexico. NPI 1578134243 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · RUIDOSO, NM
Registration Details
- NPI Number
- 1578134243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2021 (5.069745569576 yrs)
- Last Updated
- Jul 5, 2021
- License
-
LD-1166 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
117 ALAMO DRRUIDOSO, NM, 883457253Browse NM providers · Browse ZIP 88345
- Phone
- 9104761822
- Primary Specialty
-
Registered Dietitian
133V00000X
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.