Brooke S Douglas in Puyallup - Dietitian, Registered
Brooke S Douglas - NPI 1730387986
Brooke S Douglas is a Dietitian, Registered in Puyallup, Washington. Brooke S Douglas practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Brooke S Douglas is 1730387986. The last update date is 2007-07-10.
Brooke S Douglas's current location address is 15308 136th Ave E, Puyallup, Washington. You can contact this provider via phone number 2532278284. The mailing address for Brooke S Douglas is 15308 136th Ave E, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brooke S Douglas |
|---|---|
| Address | 15308 136th Ave E, Puyallup, Washington |
| Phone Number | 2532278284 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1730387986 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 15308 136th Ave E |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983749241 |
| Phone Number | 2532278284 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 706866 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the Brooke S Douglas's unique identification number?
The Brooke S Douglas has been assigned the NPI (National Provider Identifier) Number 1730387986 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Brooke S Douglas's facilities are geographically located?
The facilities of Brooke S Douglas are physically situated at the following location: 15308 136Th Ave E, Puyallup, WA, 983749241.
What is the area of specialization for Brooke S Douglas, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brooke S Douglas is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730387986 to Brooke S Douglas?
The Centers for Medicare & Medicaid Services originally issued the 1730387986 to Brooke S Douglas on 2007-07-10.
As of what date were the details related to Brooke S Douglas most recently updated or revised?
The information pertaining to Brooke S Douglas, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-10.
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