Physician Compare National (NPI:1144505199)

HEALTHCARE PROVIDER: ISABELLE FAUCHER RD LD CSR CDE

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144505199
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133426265
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160405000790
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FAUCHER
	Individual professional last name
Provider First Name	ISABELLE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4522 EXECUTIVE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	NAPLES
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	341199013
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y