Provider Demographics
NPI:1962927434
Name:SCHUTTE, EILEEN CHERYL (CN)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:CHERYL
Last Name:SCHUTTE
Suffix:
Gender:F
Credentials:CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 PARADISE CT
Mailing Address - Street 2:
Mailing Address - City:DEFOREST
Mailing Address - State:WI
Mailing Address - Zip Code:53532-1787
Mailing Address - Country:US
Mailing Address - Phone:1608-224-9585
Mailing Address - Fax:
Practice Address - Street 1:117 PARADISE CT
Practice Address - Street 2:
Practice Address - City:DEFOREST
Practice Address - State:WI
Practice Address - Zip Code:53532-1787
Practice Address - Country:US
Practice Address - Phone:1608-224-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty