Individual
SUSAN MARIE CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1111 N RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 944-3500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(513) 475-7400
(513) 475-8201
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
0329
KY
133V00000X
Registered Dietitian
Primary
37002655A
IN
133V00000X
Registered Dietitian
LD1106
OH
Other
Enumeration date
09/23/2005
Last updated
12/11/2017
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