Individual
MIKAYLA SEVIGNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
0971
NH
133V00000X
Registered Dietitian
Primary
86113588
—
Other
Enumeration date
09/02/2020
Last updated
02/01/2022
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