Provider Demographics
NPI:1033792957
Name:MYERS, BABETTE PATRICIA (RDN)
Entity Type:Individual
Prefix:
First Name:BABETTE
Middle Name:PATRICIA
Last Name:MYERS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 CONFIDENCE ST
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-0714
Mailing Address - Country:US
Mailing Address - Phone:225-678-2366
Mailing Address - Fax:
Practice Address - Street 1:9200 CONFIDENCE ST
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-0714
Practice Address - Country:US
Practice Address - Phone:225-678-2366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3168133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered