National Provider Identifier
Amy Shults
Amy Shults is listed in the NPPES registry with a primary specialty of Registered Dietitian in Lockport, NY and a listed phone number of (716) 266-6056.
Profile Overview
- NPI
- 1770856296
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- February 14, 2012
- Last Updated
- December 08, 2020
Practice Location
- 6411B Dysinger RD
- Lockport, NY 14094-9398
Phone: (716) 266-6056
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1770856296
- Entity Type
- Individual
- Last Name
- Shults
- First Name
- Amy
- Mailing Street Address
- 6411B Dysinger RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-9398
- Mailing Country
- US
- Mailing Phone
- (716) 266-6056
- Mailing Fax
- (716) 332-6412
- Practice Street Address
- 6411B Dysinger RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-9398
- Practice Country
- US
- Practice Phone
- (716) 266-6056
- Practice Fax
- (716) 332-6412
- Enumeration Date
- February 14, 2012
- Last Updated
- December 08, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 08, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)