Doctor Name: | ANDREA L CORNELIUS |
NPI Number: | 1023387669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD |
License Number: | 1083363 |
Business Practice Address: | 4455 148th Ave Ne Bellevue, WA - 980073120 |
Business Phone Number: | 4258694725 |
Business Fax Number: | |
Mailing Address: | 18329 Ne 199th Pl, WOODINVILLE |
State: | WA |
Postal Code: | 980778291 |
Phone Number: | 4258694725 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2011 |
NPI Last Update Date: | 12/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1083363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |