NPI 1114078458

Nan Mansfield, RD

Practitioner Registered Dietitian Elmira, NY

Practice location

Address: 600 Fitch St, Elmira, NY 14905-1634
Phone: (607) 737-8151
Fax: (607) 737-8104
Mailing address: 722 W Water St, Elmira, NY 14905-2435

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 001021 (NY)

Other Dietitian, Registered providers in New York →

Registry record

NPI: 1114078458
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2007
Record last updated: 8 Jul 2007

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.