Whalio Doctors

NPI 1457959389

Miranda Lee Cornett, MSRD

Practitioner Registered Dietitian Harrison, AR

Practice location

Address
620 N Main St, Harrison, AR 72601-2911
Phone
(870) 414-4000
Mailing address
114 W South St, Nixa, MO 65714-8861

Registered specialties

Registered Dietitian Primary
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86108566 (AR)

Registry record

NPI
1457959389
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Oct 2020
Record last updated
13 Oct 2020

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.