Healthcare Provider Details

I. General information

NPI: 1093471898
Provider Name (Legal Business Name): HAIYAN MAIER PHD, RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FSU UNIVERSITY HEALTH SERVICES 960 LEARNING WAY
TALLAHASSEE FL
32306-0001
US

IV. Provider business mailing address

6968 SPICEWOOD LN
TALLAHASSEE FL
32312-6761
US

V. Phone/Fax

Practice location:
  • Phone: 850-645-8958
  • Fax: 850-644-4251
Mailing address:
  • Phone: 850-273-2727
  • Fax: 850-644-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND10768
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: