Provider Demographics
NPI:1467038653
Name:STENBERG, NATASHA JUNE (RDN)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:JUNE
Last Name:STENBERG
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:PO BOX 769
Mailing Address - Street 2:
Mailing Address - City:BIG TIMBER
Mailing Address - State:MT
Mailing Address - Zip Code:59011-0769
Mailing Address - Country:US
Mailing Address - Phone:406-599-5127
Mailing Address - Fax:
Practice Address - Street 1:225 BIG TIMBER LOOP RD
Practice Address - Street 2:
Practice Address - City:BIG TIMBER
Practice Address - State:MT
Practice Address - Zip Code:59011-7646
Practice Address - Country:US
Practice Address - Phone:406-932-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT50883133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered