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NPI Code Detail

MEDICARE: MS. AMY ELIZABETH SCHEUERELL RD, LD.

MEDICARE: MS. AMY ELIZABETH SCHEUERELL RD, LD.
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 Dietitian075266IA

General Provider Information

NPI Number : 1427445147
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY ELIZABETH SCHEUERELL RD, LD.
Provider Business Mailing Address
First Line : 3200 WESTOWN PKWY
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-1110
Country : US
Telephone Number : 515-223-5111
Fax Number : 888-965-9419
Provider Business Practice Location Address
First Line : 3200 WESTOWN PKWY
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-1110
Country : US
Telephone Number : 515-223-5111
Fax Number : 888-965-9419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2015
Last Update Date : 04/21/2015

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