Individual
NANCY JEAN CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CDE
Contact information
Practice address
500 E MARKET ST, IOWA CITY, IA 52245-2689
(319) 339-2678
(319) 688-7189
Mailing address
500 E MARKET ST, IOWA CITY, IA 52245-2689
(319) 339-2678
(319) 688-7189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00262
IA
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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