Individual
NICOLE STAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
2540 E EUCLID AVE, DES MOINES HY-VEE #1138, DES MOINES, IA 50317-6046
(515) 262-0640
Mailing address
1420 NW 26TH ST, ANKENY, IA 50023-7838
(515) 829-1607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01566
IA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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