Provider Demographics
NPI:1740500735
Name:STOKES, AMBER (RD, LD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 E MAIN ST
Mailing Address - Street 2:STE 111
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2574
Mailing Address - Country:US
Mailing Address - Phone:614-864-7225
Mailing Address - Fax:614-864-2207
Practice Address - Street 1:5340 E MAIN ST
Practice Address - Street 2:STE 111
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2574
Practice Address - Country:US
Practice Address - Phone:614-864-7225
Practice Address - Fax:614-864-2207
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH955358133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered