Individual
HOLLY ANN BISHOP MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
962 LANE 42 1/2, BURLINGTON, WY 82411-9713
(801) 836-3337
Mailing address
962 LANE 42 1/2, BURLINGTON, WY 82411-9713
(801) 836-3337
(801) 812-5034
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
214
WY
133V00000X
Registered Dietitian
288617
KY
133V00000X
Registered Dietitian
7109563-4901
UT
133V00000X
Registered Dietitian
MED-NUTR-LIC-128403
MT
Other
Enumeration date
04/06/2016
Last updated
01/13/2024
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