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NPI Code Detail

MEDICARE: MRS. YVONNE BIRGITTA TAPPER-GARDZINA MS, RDN

MEDICARE: MRS. YVONNE BIRGITTA TAPPER-GARDZINA MS, RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianD-455ID
2133V00000XRegistered Dietitian531MT

General Provider Information

NPI Number : 1871579151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YVONNE BIRGITTA TAPPER-GARDZINA MS, RDN
Provider Business Mailing Address
First Line : 16 CLOUD WAY
Second Line :
City : CLANCY
State : MT
Zip : 59634-9663
Country : US
Telephone Number : 406-465-6245
Fax Number : 406-447-2703
Provider Business Practice Location Address
First Line : 2475 E BROADWAY ST
Second Line :
City : HELENA
State : MT
Zip : 59601-4928
Country : US
Telephone Number : 406-444-2386
Fax Number : 406-447-2703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 03/17/2018

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