MRS. SUSAN MARIE MANTERNACH RD,LD,CDDE
NPI 1073792644
Dietitian, Registered - Nutrition, Metabolic in Dubuque, IA

Active since October 30, 2007
1560 UNIVERSITY AVE, DUBUQUE, IA 52001(563) 589-4899(563) 589-4897 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Susan Marie Manternach Rd,ld,cdde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSAN MARIE MANTERNACH RD,LD,CDDE (NPI 1073792644) is an individual nutrition, metabolic provider in Dubuque, Iowa, licensed in Iowa (00564) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1073792644
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameMRS. SUSAN MARIE MANTERNACHCredential: RD,LD,CDDE
Location Address1560 UNIVERSITY AVEDubuque, IA 52001-4790
Mailing Address1560 University AveDubuque, IA 52001-4790 · (563) 589-4899 · Fax (563) 589-4897
Fax(563) 589-4897
Sole ProprietorNo
Enumeration DateOctober 30, 2007
NPI 1073792644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License Licensed in IA · 00564
Definition

A registered dietitian who achieves specialized competency in metabolic nutrition.

1560 UNIVERSITY AVE, Dubuque, IA 52001

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
1560 UNIVERSITY AVE
DUBUQUE, IA 52001
Dietitian, Registered
1560 UNIVERSITY AVE
DUBUQUE, IA 52001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073792644, enumerated as an "individual" on October 30, 2007.

The provider is located at 1560 UNIVERSITY AVE DUBUQUE, IA 52001 and the phone number is (563) 589-4899.

Dietitian, Registered with taxonomy code 133VN1006X and a focus in Nutrition, Metabolic.