MEDICARE: MS. HEATHER FIORE MS ED, RD, LD, CDE

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
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1801079116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER FIORE MS ED, RD, LD, CDE

Provider Business Mailing Address
First Line	:	3308 TOMAHAWK DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-1928
Country	:	US
Telephone Number	:	785-331-6435
Fax Number	:

Provider Business Practice Location Address
First Line	:	2721 W 6TH ST STE F
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4306
Country	:	US
Telephone Number	:	785-331-6435
Fax Number	:	585-332-4116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2007
Last Update Date	:	06/09/2022

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