Individual
MRS. STEPHANIE L PROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN LD CNSC
Contact information
Practice address
2140 NORCOR AVE STE 104, CORALVILLE, IA 52241-9736
(319) 331-9017
(319) 469-8763
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-2842
(319) 356-8674
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01596
IA
Other
Enumeration date
09/28/2005
Last updated
08/03/2025
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