Ellen Louise Edwards, RDN LD
Individual provider Active NPI Registered Dietitian · Thermopolis, WY
NPI 1992265938 · NPPES record last updated Oct 23, 2023
Key facts
- NPI
- 1992265938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 307 (WY)
- Practice address
- 150 E Arapahoe St
Thermopolis, WY 82443-2402 - Phone
- (307) 864-3121
- Fax
- (307) 864-5061
- NPI assigned
- Mar 25, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 307 | WY | Yes |
Addresses
Primary practice location
150 E Arapahoe St
Thermopolis, WY 82443-2402
Mailing address
150 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-3121
Other providers in Thermopolis, WY
- Anthony Joseph Deromedi
- Sandra B Dittmer
- Dons Inc
- Guy C Drake
- Erin Dyok
- Karla Ehlers
- Empres at Thermopolis, LLC
- Gloria Fiorini
- Margaret Louise Forgey
- Garry Freel
All providers in Thermopolis, WY · Registered Dietitian in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2023. 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.