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Ethel Fredrickson
Nutritionist in Lake Village, Arkansas
NPI 1154802866

Ethel Fredrickson is a Nutritionist based in Lake Village, AR. Ethel Fredrickson practices in Lake Village, AR. The NPI Number for Ethel Fredrickson is 1154802866 and holds a License No. 92236 (Arkansas).

The current practice location address for Ethel Fredrickson is 1345 Circle Dr, Lake Village, AR and can be reached out via phone at 870-265-0921 and via fax at 844-270-1949.

Location: 1345 Circle Dr, Lake Village, AR, 71653-1661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154802866
Provider Name
Ethel Fredrickson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1345 Circle Dr, Lake Village, AR, 71653-1661
Phone Number
870-265-0921
Fax Number
844-270-1949
Provider Enumeration Date
08/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
825296134 05 AR
institution
Provider Business Practice Location Address Details
Address
1345 Circle Dr
City
Lake Village
State
Arkansas
Zip
71653-1593
Phone Number
870-265-0921
Fax Number
844-270-1949
person
Provider Business Mailing Address Details
Address
1345 Circle Dr
City
Lake Village
State
Arkansas
Zip
71653-1593
Phone Number
870-265-0921
Fax Number
844-270-1949
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
-
Taxonomy
133N00000X
License No.
92236 (Arkansas)
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
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