Doctor Name: | DENAE R. BASTIAN |
NPI Number: | 1508952748 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | DI00001618 |
Business Practice Address: | 900 Pacific Ave 1st Floor Everett, WA - 982014168 |
Business Phone Number: | 4252587311 |
Business Fax Number: | 4252587618 |
Mailing Address: | Po Box 1166, EVERETT |
State: | WA |
Postal Code: | 982061166 |
Phone Number: | 4252587357 |
Fax Number: | 4252587022 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI00001618 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |