Ellen Deette Boyer, RD
Individual provider Active NPI Registered Dietitian · Cadillac, MI
NPI 1487215463 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1487215463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 400 Hobart St
Cadillac, MI 49601-2389 - Phone
- (231) 876-6633
- NPI assigned
- Jun 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
400 Hobart St
Cadillac, MI 49601-2389
Mailing address
400 Hobart St
Cadillac, MI 49601-2389
Phone (231) 876-6633
Other providers in Cadillac, MI
- Ashlee R Bosscher
- Sydney Elizabeth Jo Bousquet
- Angela June Boven
- Kent Calvin Bowden
- Alysse Nicole Boydston
- Shirley K Boyer
- Madison Brandt
- Dannica Gail Bregg
- Richard Michael Brenz
- Brian R Drabik D.O. P.C.
All providers in Cadillac, MI · Registered Dietitian in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.