Stephanie Willard, MSRD
Stephanie Willard, MSRD is a Registered Dietitian OR Nutrition Professional in Fountain, Colorado. Qualified in 2021, 5 years ago. Licensed in Colorado.
- Years since qualifying
- 5
- Licensed in
- CO
- In the registry since
- 2021
Practice location Address checks out
7381 Tributary CtFountain, CO 80817-4716
Phone: (719) 373-3232
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 86167991 (CO) |
|---|
Record details
| NPI number | 1548925258 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSRD |
| Sole proprietor | No |
| NPI enumerated | November 8, 2021 |
| Last updated in NPPES | November 8, 2021 |
| Certification date | November 8, 2021 |
| Mailing address | 7381 Tributary Ct, Fountain, CO 80817-4716 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Fountain
-
Forward Nutrition Co LLC
7381 Tributary Ct, Fountain, CO 80817-4716 · (719) 373-3232
-
Mrs. Katie Miller, RD
7731 Blue Heron Ct, Fountain, CO 80817-2840 · (662) 801-4671
-
Jennifer Lynn White, RDLD
7154 Creekfront Dr, Fountain, CO 80817-4034 · (719) 510-8480