Doctor Name: | MS. MELISSA ANN EVERSON |
NPI Number: | 1053513341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | DI00001266 |
Business Practice Address: | 360 Nw North St Chehalis, WA - 985321925 |
Business Phone Number: | 3607401454 |
Business Fax Number: | 3607402708 |
Mailing Address: | 360 Nw North St, CHEHALIS |
State: | WA |
Postal Code: | 985321925 |
Phone Number: | 3607401454 |
Fax Number: | 3607402708 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 136A00000X |
License Number: | DI00001266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietetic Technician, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate |