Amanda Marcella Allen, MS, RDN, LD
Dietitian, Registered in Springfield, MO. Individual provider (NPI-1).
NPI number1891296554
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1891296554
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Marcella Allen
- Credential
- MS, RDN, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2018
- Last updated
- Feb 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2016030257 | MO | Yes |
Other names
- Amanda Marcella Broombaugh (Former Name)
Practice location
1720 W Battlefield StSpringfield, MO 65807-5359
Phone 417-881-1950 · Fax 417-881-8289
Mailing address
1720 W Battlefield StSpringfield, MO 65807-5359
Phone 417-881-1950
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