Individual
ANGELA R HABERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
624
WV
174400000X
Specialist
2082-0495
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082-0495
NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
—
01
—
624
WV BOARD OF LICENSED DIETITIANS
WV
01
—
952452
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
10/23/2006
Last updated
07/23/2012
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