Healthcare Provider Details

I. General information

NPI: 1508961152
Provider Name (Legal Business Name): NANCY FROST-MEYER MS, RDN, CDCES, CD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E VETERANS ST
TOMAH WI
54660-3105
US

IV. Provider business mailing address

2260 PINE RD
RUDOLPH WI
54475-9521
US

V. Phone/Fax

Practice location:
  • Phone: 800-872-8662
  • Fax:
Mailing address:
  • Phone: 715-424-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number871650
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: