Doctor Name: | MARILYN WALTON |
NPI Number: | 1811166085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D, C.D. |
License Number: | 105434-4901 |
Business Practice Address: | 151 S University Ave Provo, UT - 846014427 |
Business Phone Number: | 8018517064 |
Business Fax Number: | |
Mailing Address: | 1278 N 500 W, OREM |
State: | UT |
Postal Code: | 840572929 |
Phone Number: | 8012257396 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2008 |
NPI Last Update Date: | 03/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 105434-4901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |