NPI 1407313406

Courtney Rae Heine, RDLDCMHIMP

Practitioner Registered Dietitian Sullivan, MO

Practice location

Address: 884 Acid Mine Rd, Sullivan, MO 63080-2695
Phone: (573) 619-5188

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2014012347 (MO)

Other Dietitian, Registered providers in Missouri →

Registry record

NPI: 1407313406
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2019
Record last updated: 26 Feb 2019

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.