Provider Demographics
NPI:1417746793
Name:STROTHER, AMANDA DUNCAN (RD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:DUNCAN
Last Name:STROTHER
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 BRAXTON DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5570
Mailing Address - Country:US
Mailing Address - Phone:225-266-5611
Mailing Address - Fax:
Practice Address - Street 1:518 BRAXTON DR
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-5570
Practice Address - Country:US
Practice Address - Phone:225-266-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2339133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered