Doctor Name: | RENEE HENICO |
NPI Number: | 1043522048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD CD |
License Number: | 37002017A |
Business Practice Address: | 6145 North Cr 940 West Middletown, IN - 473569530 |
Business Phone Number: | 7656208400 |
Business Fax Number: | 7657794010 |
Mailing Address: | 6145 North Cr 940 West, MIDDLETOWN |
State: | IN |
Postal Code: | 473569530 |
Phone Number: | 7656208400 |
Fax Number: | 7657794010 |
NPI Enumeration Date: | 07/07/2010 |
NPI Last Update Date: | 07/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37002017A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |