National Provider Identifier

Sue Stull, DIETICIAN

Sue Stull, DIETICIAN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Jamestown, NY and a listed phone number of (716) 661-1541.

NPI 1629230438Jamestown, NYRegistered Dietitian

Profile Overview

NPI
1629230438
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
July 02, 2008
Last Updated
July 02, 2008

Practice Location

  • 75 Jones And Gifford Ave
  • Jamestown, NY 14701-2828

Phone: (716) 661-1541

Mailing Address

  • 880 E 2Nd St
  • Jamestown, NY 14701-3824

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1629230438
Entity Type
Individual
Last Name
Stull
First Name
Sue
Credential
DIETICIAN
Mailing Street Address
880 E 2Nd St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-3824
Mailing Country
US
Mailing Phone
(716) 661-1583
Mailing Fax
(716) 485-7234
Practice Street Address
75 Jones And Gifford Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-2828
Practice Country
US
Practice Phone
(716) 661-1541
Enumeration Date
July 02, 2008
Last Updated
July 02, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)