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Organization
SIMPLY NOURISHED LLC
Active
Organization
SIMPLY NOURISHED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY ALLISON MCCLAFFERTY RD, LD, CDCES (DIETITIAN)
(417) 379-4001
Entity
Organization
Contact information
Practice address
3252 S MEADOWLARK AVE, SPRINGFIELD, MO 65807-8719
(417) 379-4001
Mailing address
3252 S MEADOWLARK AVE, SPRINGFIELD, MO 65807-8719
(417) 379-4001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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