Basic Information
| Provider Information | |||||||||
| NPI: | 1093471898 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAIER | ||||||||
| FirstName: | HAIYAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHD, RDN, LDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6968 SPICEWOOD LN | ||||||||
| Address2: | |||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323126761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8502732727 | ||||||||
| FaxNumber: | 8506444251 | ||||||||
| Practice Location | |||||||||
| Address1: | FSU UNIVERSITY HEALTH SERVICES 960 LEARNING WAY | ||||||||
| Address2: | |||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323060001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8506458958 | ||||||||
| FaxNumber: | 8506444251 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2021 | ||||||||
| LastUpdateDate: | 11/16/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | ND10768 | FL | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.