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Contact Information

STEPHANIE D TARVER, LDN,RD
1035 CRESWELL AVE
SHREVEPORT, LA71101-3917
 Phone: 318-676-5159
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for STEPHANIE D TARVER · (Female)

NPI Number 1972859973
Status Active
Credentials LDN,RD
Entity Individual
Enumeration date 07/27/2012
Last updated 07/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 1313
  • LA License # 832710
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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