1366439028 NPI number — MRS. STEPHANIE L PROUD RDN LD CNSC

Table of content: MRS. STEPHANIE L PROUD RDN LD CNSC (NPI 1366439028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366439028 NPI number — MRS. STEPHANIE L PROUD RDN LD CNSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PROUD
Provider First Name:
STEPHANIE
Provider Middle Name:
L
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RDN LD CNSC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366439028
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 HAWKINS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IOWA CITY
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52242-1009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-467-2842
Provider Business Mailing Address Fax Number:
319-356-8674

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2140 NORCOR AVE STE 104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORALVILLE
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52241-9736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-331-9017
Provider Business Practice Location Address Fax Number:
319-469-8763
Provider Enumeration Date:
09/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  01596 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com