Individual
AMIE L STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
18 FOUNDRY ST STE 101, CONCORD, NH 03301-5421
(603) 230-5636
(603) 227-7584
Mailing address
18 FOUNDRY ST STE 101, CONCORD, NH 03301-5421
(603) 230-5636
(603) 227-7584
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
312
NH
133V00000X
Registered Dietitian
919596
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30859Y
ANTHEM BCBS ID #
NH
01
—
AA30207
HARVARD PILGRIM ID #
NH
Enumeration date
04/13/2007
Last updated
11/30/2020
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