NPI 1174898456

Autumn L Mastroianni, RD

Practitioner Registered Dietitian Bowling Green, KY

Practice location

Address: 843 Fairview Ave Suite B6, Bowling Green, KY 42101-4914
Phone: (270) 901-3412
Fax: (270) 901-3413

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2119 (KY)

Other Dietitian, Registered providers in Kentucky →

Registry record

NPI: 1174898456
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2012
Record last updated: 20 Mar 2012

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.