Individual
STEPHANIE BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1884
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059865
NATIONAL REGISTRATION NUMBER
—
01
—
1884
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
11/03/2022
Last updated
11/03/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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