Healthcare Provider Details

I. General information

NPI: 1801074265
Provider Name (Legal Business Name): KATHERINE ANNE PLANTE R.D., L.D.N., CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 02/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 9 BOX 532 HAWC SPANGDAHLEM AIR BASE
APO AE
09123
DE

IV. Provider business mailing address

PSC 9 BOX 532
APO AE
09123
DE

V. Phone/Fax

Practice location:
  • Phone: 49656561
  • Fax:
Mailing address:
  • Phone: 496562965086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number714172
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3977
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: