Individual
MS. ELIZABETH NADINE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
8650 MILLICENT WAY, SHREVEPORT, LA 71115-2228
(318) 642-8100
Mailing address
2614 DOE RIDGE DR, HAUGHTON, LA 71037-9395
(318) 578-1934
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86106537
LA
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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