Provider Demographics
NPI:1801079116
Name:FIORE, HEATHER (MS ED, RD, LD, CDE)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:FIORE
Suffix:
Gender:F
Credentials:MS ED, RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 TOMAHAWK DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-1928
Mailing Address - Country:US
Mailing Address - Phone:785-331-6435
Mailing Address - Fax:
Practice Address - Street 1:2721 W 6TH ST STE F
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4306
Practice Address - Country:US
Practice Address - Phone:785-331-6435
Practice Address - Fax:585-332-4116
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered