Carol A Maki, RD, CDE
Individual provider Active NPI Registered Dietitian · Hazelhurst, WI
NPI 1962698928 · NPPES record last updated Sep 24, 2007
Key facts
- NPI
- 1962698928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1650-029 (WI)
- Practice address
- 5757 Cedar Falls Rd
Hazelhurst, WI 54531-9788 - Phone
- (715) 358-6591
- NPI assigned
- Sep 24, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1650-029 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1650-029 | WI | Yes |
Addresses
Primary practice location
5757 Cedar Falls Rd
Hazelhurst, WI 54531-9788
Mailing address
5757 Cedar Falls Rd
Hazelhurst, WI 54531-9788
Phone (715) 358-6591
Other providers in Hazelhurst, WI
- Sarah Andrews
- Patricia Lynn Duncan
- Front Office Back Office Automation
- Kelley J. Moran
- Jillian Frances Nicholson
- Jackie Rogers
All providers in Hazelhurst, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2007. 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.