Holly Ann Herzfeld-Van Dyke, RD,MS,LD,CDE
Dietitian, Registered, Nutrition, Metabolic in Conway, AR. Individual provider (NPI-1).
NPI number1336817469
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1336817469
- Entity type
- Individual (NPI-1)
- Name
- Holly Ann Herzfeld-Van Dyke
- Credential
- RD,MS,LD,CDE
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2021
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | 0783 | AR | Yes |
Practice location
3230-1 Lizzy LaneConway, AR 72032
Phone 501-818-9060
Mailing address
Po Box 1811Conway, AR 72033-1811
Phone 501-818-9060
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