Desiree De Waal in Burlington - Nutrition, Renal
Desiree De Waal - NPI 1003900358
Desiree De Waal is a Nutrition, Renal in Burlington, Vermont. Desiree De Waal practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Desiree De Waal is 1003900358. The last update date is 2007-07-08.
Desiree De Waal's current location address is 1 S Prospect St, Burlington, Vermont. You can contact this provider via phone number 8028473203 and fax number 8028473607. The mailing address for Desiree De Waal is 1 S Prospect St, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Desiree De Waal |
|---|---|
| Address | 1 S Prospect St, Burlington, Vermont |
| Phone Number | 8028473203 |
| Fax Number | 8028473607 |
| Sole Proprietor | N |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1003900358 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 S Prospect St |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54013456 |
| Phone Number | 8028473203 |
| Fax Number | 8028473607 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | 074-0000171 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the Desiree De Waal's 1003900358?
The Desiree De Waal's NPI (National Provider Identifier) Number is 1003900358. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the area of specialization for Desiree De Waal, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Desiree De Waal is Nutrition, Renal, and the corresponding taxonomy code that categorizes this area of expertise is 133Vn1005X.
When was the Desiree De Waal's 1003900358 issued?
The Desiree De Waal's 1003900358 was issued on 2006-10-03.
When was the Desiree De Waal's information last updated?
The Desiree De Waal's information was last updated on 2007-07-08.
When was the information pertaining to Desiree De Waal most recently updated or revised?
The details related to Desiree De Waal, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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