Gwen G Stewart, RD, LD

Individual provider Active NPI Registered Dietitian · Lancaster, NH

NPI 1154558823 · NPPES record last updated Jun 19, 2009

Key facts

NPI
1154558823
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
998660 (NH)
Practice address
170 Middle St
Lancaster, NH 03584-3556
Phone
(603) 788-2521
Fax
(603) 788-5027
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
998660NHMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 998660 NH Yes

Addresses

Primary practice location

170 Middle St
Lancaster, NH 03584-3556

Mailing address

170 Middle St
Lancaster, NH 03584-3556
Phone (603) 788-2521

Other providers in Lancaster, NH

All providers in Lancaster, NH · Registered Dietitian in New Hampshire

Sources for this page

Verify at the official NPI Registry.