Amy Elizabeth Waters MS, RD, IBCLC

NPI 1134264302 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1134264302
Gender Female
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1233 SOUTHWEST AVE
JOHNSON CITY TN, 37604-6596, US
Phone (423) 979-3200
Fax (423) 688-3261
Business Location
1111 PINE ROOT BRANCH RD
BAKERSVILLE NC, 28705-7418, US
Phone (828) 688-3631
Fax
Toxanomy
Taxonomy Code 133V00000X
License State
License Number EXEMPT
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According to our database, Amy Elizabeth Waters MS, RD, IBCLC NPI is 1134264302, taxonomy code is 133V00000X and license number is EXEMPT, license state is located at . Amy Elizabeth Waters MS, RD, IBCLC physically located at 1233 Southwest Ave, Johnson City TN, 37604-6596. NPI Number Amy Elizabeth Waters MS, RD, IBCLC has the Individual type.

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1134264302 NPI number is provided on an as is basis without warranty of any kind. 1134264302 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Elizabeth Waters MS, RD, IBCLC are for informational purposes only.