Stefanie T Bond, R.D., L.D.N.

Individual provider Active NPI Registered Dietitian · Minden, LA

NPI 1174801575 · NPPES record last updated Aug 2, 2011

Key facts

NPI
1174801575
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2060 (LA)
Practice address
1 Medical Plaza PL
Minden, LA 71055-3330
Phone
(318) 371-3270
NPI assigned
Aug 2, 2011
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)
No

State licenses

LicenseStateTypeSpecialty
2060LAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2060 LA Yes

Addresses

Primary practice location

1 Medical Plaza PL
Minden, LA 71055-3330

Mailing address

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 371-3270

Other providers in Minden, LA

All providers in Minden, LA · Registered Dietitian in Louisiana

Sources for this page

Verify at the official NPI Registry.