NPI 1053805382

Sheridan Peak Wellness

Organisation Registered Dietitian Sheridan, WY

Practice location

Address: 740 S. Thurmond St., Sheridan, WY 82801
Phone: (307) 683-6874
Fax: (415) 559-4790

Authorised official

Name: Jennifer Lee Clark
Title: Corporation Owner
Phone: (307) 683-6874

Registered specialties (4)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 232 (WY)

Other Dietitian, Registered providers in Wyoming →

Nutrition Education Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Other Nutritionist providers in Wyoming →

Pediatric Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1004X

Metabolic Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1006X

Registry record

NPI: 1053805382
Entity type: Organization
NPI issued: 20 Jun 2018
Record last updated: 20 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.