Individual
CANDICE MARIE VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN LN CLC
Contact information
Practice address
362 ANNIE GLADE DR, BOZEMAN, MT 59718-7685
(406) 223-0820
Mailing address
1043 STONERIDGE DR STE 2, BOZEMAN, MT 59718-7084
(406) 599-2492
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
MED-NUTR-LIC-264
MT
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-264
MT
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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