Mission Nutrition, L.l.c. | |
24560 Mare Point Dr, Pass Christian, MS 39571-3352 | |
(337) 789-8582 | |
Not Available |
Full Name | Mission Nutrition, L.l.c. |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 24560 Mare Point Dr, Pass Christian, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538597687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D1264 (Mississippi) | Primary |
Provider Name | Miranda W Hebert |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1427482447 PECOS PAC ID: 5597996082 Enrollment ID: I20140326001640 |
Mailing Address | Practice Location Address |
---|---|
Mission Nutrition, L.l.c. 24560 Mare Point Dr, Pass Christian, MS 39571-3352 Ph: (337) 789-8582 | Mission Nutrition, L.l.c. 24560 Mare Point Dr, Pass Christian, MS 39571-3352 Ph: (337) 789-8582 |
Mrs. Miranda W Hebert, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 24560 Mare Point Dr, Pass Christian, MS 39571 Phone: 337-789-8582 | |
Stella Pierce Wolf, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 23499 Stablewood Cir, Pass Christian, MS 39571 Phone: 228-760-0591 Fax: 228-248-4453 | |
Gulf Coast Health Educators Dietitian Medicare: Not Enrolled in Medicare Practice Location: 212 E Second St, Suite A, Pass Christian, MS 39571 Phone: 228-860-7530 Fax: 888-784-6667 | |
Ashley Peterson, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 212 E Second St, Suite A, Pass Christian, MS 39571 Phone: 228-860-7530 |