| Doctor Name: | MICHELLE EVANGELINE DENNISON |
| NPI Number: | 1245209279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LD |
| License Number: | 1193 |
| Business Practice Address: | 825 Ne 10th St Oupb 4300 Oklahoma City, OK - 731045417 |
| Business Phone Number: | 4052713050 |
| Business Fax Number: | |
| Mailing Address: | 1122 Ne 13th St, Ori 236 OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731171039 |
| Phone Number: | 4052711515 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 11/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| 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 |