Provider Demographics
NPI:1427829928
Name:STRIMPFEL, MIKAELA NICOLE (RD, LD)
Entity type:Individual
Prefix:
First Name:MIKAELA
Middle Name:NICOLE
Last Name:STRIMPFEL
Suffix:
Gender:
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:866 ISLAND PARK DR UNIT 323
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-7382
Mailing Address - Country:US
Mailing Address - Phone:937-684-6693
Mailing Address - Fax:
Practice Address - Street 1:866 ISLAND PARK DR
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7445
Practice Address - Country:US
Practice Address - Phone:937-684-6693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC86093170133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered