Basic Information
| Provider Information | |||||||||
| NPI: | 1144347758 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARRON | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | JILL | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MS, RD, CSR, CD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2301 SUN VALLEY DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | DELAFIELD | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530182318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2626466426 | ||||||||
| FaxNumber: | 2626462498 | ||||||||
| Practice Location | |||||||||
| Address1: | 1111 DELAFIELD ST | ||||||||
| Address2: | SUITE #212 | ||||||||
| City: | WAUKESHA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531883417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2625241024 | ||||||||
| FaxNumber: | 2625248767 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 1369-029 | WI | X | Dietary & Nutritional Service Providers | Dietitian, Registered | 133VN1005X | 813228 | X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Renal |
No ID Information.