NPI Profile for DENAE R BASTIAN in EVERETT, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Nutritionist |
133N00000X |
| NPI # | 1508952748 |
|
| Status | Active | |
| Credentials | RD (Registered Dietitian) | |
| Entity | Individual | |
| Enumeration date | 10/05/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DENAE R BASTIAN
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