NPI 1326810417

Corissa Sue Spackman, CNSLDNNBCHWC

Practitioner Nutritionist Sheridan, WY

Practice location

Address: 32 N Gould St STE R, Sheridan, WY 82801-6317
Phone: (307) 343-3680

Registered specialties (4)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence DX6913 (MD)

Other Nutritionist providers in Wyoming →

Nutrition Education Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X

Health & Wellness Coach

Other Service Providers Taxonomy 171400000X

Other Health & Wellness Coach providers in Wyoming →

Registry record

NPI: 1326810417
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2023
Record last updated: 1 Nov 2024

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.