Organization
DYNAMIC NUTRITION NW LLC
Active
Other names
Dynamic Nutrition NW, Dynamic Nutrition NW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELIA FACCHINE RD, CD (OWNER)
(732) 986-2633
Entity
Organization
Contact information
Practice address
5811 187TH AVE SE, ISSAQUAH, WA 98027-8620
(425) 470-3458
(425) 372-7941
Mailing address
5811 187TH AVE SE, ISSAQUAH, WA 98027-8620
(425) 470-3458
(425) 372-7941
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255995973
NPI
—
Enumeration date
03/10/2021
Last updated
03/10/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us