NPI 1134792831
Micala Stevenson, NASMCNC
Practice location
- Address
- 48 County Road 250, Durango, CO 81301-8848
- Phone
- (970) 739-5897
- Mailing address
- 9701 SE Johnson Creek Blvd APT F303, Happy Valley, OR 97086-3683
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1134792831
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jul 2021
- Record last updated
- 20 Jul 2021
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.