Provider Demographics
NPI:1083766984
Name:SCHIVE, NANCY EILEEN (RD,LD)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:EILEEN
Last Name:SCHIVE
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:EILEEN
Other - Last Name:STEHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD,LD
Mailing Address - Street 1:312 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-1888
Mailing Address - Country:US
Mailing Address - Phone:641-752-0654
Mailing Address - Fax:641-844-2206
Practice Address - Street 1:312 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-1888
Practice Address - Country:US
Practice Address - Phone:641-752-0654
Practice Address - Fax:641-844-2206
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00470133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI4720Medicare ID - Type Unspecified
IAP43366Medicare UPIN