Individual
MRS. HEATHER MELINDA DENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2601 CHERRY AVE STE 115, BREMERTON, WA 98310-4214
(360) 744-6910
(360) 744-6919
Mailing address
2601 CHERRY AVE STE 115, BREMERTON, WA 98310-4214
(360) 744-6910
(360) 744-6919
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
L & I
WA
05
—
8452294
—
WA
01
—
8496ST
INDIVIDUAL BLUE SHIELD
WA
01
—
US7035773
AETNA/USHC PCP
WA
Enumeration date
07/24/2006
Last updated
07/21/2022
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