Individual
MISS KATIE MIKEL DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
578
MT
133V00000X
Registered Dietitian
Primary
578
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
578
MT LICENSE NUMBER
MT
Enumeration date
09/24/2010
Last updated
09/23/2022
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