NPI 1003191297

Samantha Elaine Moore, RDCDCDCES

Practitioner Registered Dietitian Marshfield, WI

Practice location

Address: 1000 N Oak Ave, Marshfield, WI 54449-5703
Phone: (715) 389-7464

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1059416 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1003191297
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2011
Record last updated: 8 Nov 2022

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.