Provider Demographics
NPI:1336813864
Name:ALSTEAD, MARGARET (RD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:ALSTEAD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 18TH AVE N
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-2721
Mailing Address - Country:US
Mailing Address - Phone:563-249-2573
Mailing Address - Fax:
Practice Address - Street 1:800 18TH AVE N
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-2721
Practice Address - Country:US
Practice Address - Phone:563-249-2573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-07
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.007110133V00000X
IA01117133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered