Provider Demographics
NPI:1053479444
Name:LOUWERS, AMIE ELIZABETH (RD, LD, CD)
Entity Type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:ELIZABETH
Last Name:LOUWERS
Suffix:
Gender:F
Credentials:RD, LD, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 ELMA PL NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-4973
Mailing Address - Country:US
Mailing Address - Phone:240-277-4640
Mailing Address - Fax:
Practice Address - Street 1:1237 116TH AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-0003
Practice Address - Country:US
Practice Address - Phone:240-277-4640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA858969133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered