Provider Demographics
NPI:1497426902
Name:FRISCIA, ASHLEY ANNE (MS, RD, CD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANNE
Last Name:FRISCIA
Suffix:
Gender:F
Credentials:MS, RD, CD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ANNE
Other - Last Name:THIEDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CD, CNSC
Mailing Address - Street 1:1133 18TH AVE APT 24
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4768
Mailing Address - Country:US
Mailing Address - Phone:707-536-3297
Mailing Address - Fax:
Practice Address - Street 1:1133 18TH AVE APT 24
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4768
Practice Address - Country:US
Practice Address - Phone:707-536-3297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered