Editha P. Heberlein, M.S., R.D., FADA
Individual provider Active NPI Registered Dietitian · Malmstrom Afb, MT
NPI 1770577348 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1770577348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701 - Phone
- (406) 731-3863
- Fax
- (406) 731-2691
- NPI assigned
- Sep 9, 2005
- 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Mailing address
7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Phone (406) 731-3863
Other providers in Malmstrom Afb, MT
- Timothy Paul Gacioch
- Elijah Jacob Grayson
- Laurie Carrin Harper
- Elaine Harris
- Jennifer Bradley Harward
- Anjelisa Marie Howard
- Garrett William Huck
- Kevin Eugene Kemarly
- Jordan Kieliszewski
- Melissa L Legowski
All providers in Malmstrom Afb, MT · Registered Dietitian in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2012. 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.