Individual
MRS. IVY MARIE WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D, L.D.N
Contact information
Practice address
1453 HOPE WAY, MURFREESBORO, TN 37129-3140
(615) 893-9390
Mailing address
1453 HOPE WAY, MURFREESBORO, TN 37129-3140
(615) 893-9390
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
2542
TN
133V00000X
Registered Dietitian
Primary
1043566
TN
Other
Enumeration date
10/25/2012
Last updated
08/16/2022
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