Doctor Name: | ANNE B CORLEY |
NPI Number: | 1871907519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CD |
License Number: | DI00001216 |
Business Practice Address: | 2102 N Pearl St Ste 405 Tacoma, WA - 984062550 |
Business Phone Number: | 2537528822 |
Business Fax Number: | |
Mailing Address: | 6624 149th Street Ct E, PUYALLUP |
State: | WA |
Postal Code: | 983757012 |
Phone Number: | 2538200152 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2014 |
NPI Last Update Date: | 06/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI00001216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |