Doctor Name: | JULIANNE MINARIK |
NPI Number: | 1720172471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 12 |
Business Practice Address: | 3340 Providence Dr A351 Anchorage, AK - 995084691 |
Business Phone Number: | 9072124824 |
Business Fax Number: | 9072124831 |
Mailing Address: | Po Box 4105, PORTLAND |
State: | OR |
Postal Code: | 972084105 |
Phone Number: | 8669071068 |
Fax Number: | 4259179141 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 12 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |