NPI 1154969251
Michelle Robertson
Practice location
- Address
- 625 E Broadway Ave, Jackson, WY 83001-8642
- Phone
- (307) 739-7361
- Mailing address
- PO Box 428, Jackson, WY 83001-0428
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1154969251
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Dec 2019
- Record last updated
- 18 Feb 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.