Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAWN BOONSTRA, RD
Active Sole ProprietorFAWN BOONSTRA, RD is a Registered Dietitian healthcare provider located in APACHE JUNCTION, Arizona. NPI 1902359771 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · APACHE JUNCTION, AZ
Registration Details
- NPI Number
- 1902359771
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2016 (10.024084511483 yrs)
- Last Updated
- Jun 24, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
99 S. GOLD DR. SUITE 5GOLDFIELD CARDIOVASCULAR INSTITUTEAPACHE JUNCTION, AZ, 85120Browse AZ providers · Browse ZIP 85120
- Phone
- 4809620101
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in APACHE JUNCTION, AZ
| Name | Credential | NPI |
|---|---|---|
| EMILY HUBNER | RDN | 1013518943 |
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.