Provider Demographics
NPI:1275610131
Name:HAESSLER, EMILY FRANCES (MS RD LD)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:FRANCES
Last Name:HAESSLER
Suffix:
Gender:F
Credentials:MS RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027A STAPLES AVE
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3735
Mailing Address - Country:US
Mailing Address - Phone:305-766-0864
Mailing Address - Fax:305-293-1747
Practice Address - Street 1:2027A STAPLES AVE
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3735
Practice Address - Country:US
Practice Address - Phone:305-766-0864
Practice Address - Fax:305-293-1747
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 4340133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU3016Medicare ID - Type UnspecifiedMEDICARE