NPI 1053015701

Cassidy Renee Fowler

Practitioner Registered Dietitian Valparaiso, IN

Practice location

Address: 2401 Valley Dr, Valparaiso, IN 46383-2520
Phone: (219) 462-7173
Mailing address: 222 Roberta Ave, Michigan City, IN 46360-5950

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 37003682A (IN)

Other Dietitian, Registered providers in Indiana →

Registry record

NPI: 1053015701
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2023
Record last updated: 28 Mar 2023

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.