MS. Corissa Sue Spackman, CNS, LDN, NBC-HWC

NPI #1326810417 in Sheridan, Wyoming

Provider Information

NPI Number: 1326810417
Entity Type: Individual
Name: MS. Corissa Sue Spackman, CNS, LDN, NBC-HWC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: CNS, LDN, NBC-HWC
Enumeration Date: Oct 23, 2023
Last Updated: Nov 1, 2024

Practice Location

Address: 32 N GOULD ST STE R
City: Sheridan
State: Wyoming
ZIP Code: 82801-6317
Phone: (307) 343-3680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Health & Wellness Coach	171400000X

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