NPI 1023347739

Connie L Packer, MSRDCD

Practitioner Registered Dietitian Payson, UT

Practice location

Address: 910 E 100 N Suite 105, Payson, UT 84651-1635
Phone: (801) 857-7440
Fax: (866) 340-7791
Mailing address: 374 S 1230 W, Spanish Fork, UT 84660-5531

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 6324049-4901 (UT)

Other Dietitian, Registered providers in Utah →

Registry record

NPI: 1023347739
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2009
Record last updated: 9 Dec 2009

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.