Individual
DIANNE VAN TREECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CDE,LD/N
Contact information
Practice address
1375 GATEWAY BLVD, BOYNTON BEACH, FL 33426-8304
(561) 737-1070
(561) 536-0411
Mailing address
1375 GATEWAY BLVD, BOYNTON BEACH, FL 33426-8304
(561) 737-1070
(561) 536-0411
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1169978
COVENTRY HEALTHCARE
FL
01
—
GGXLB
FL BLUE HMO
FL
01
—
NPI
AETNA
FL
01
—
PR47554650001
CIGNA
FL
Enumeration date
10/20/2006
Last updated
04/29/2016
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