Provider Demographics
NPI:1528389632
Name:DENNIS, MARGARET ANN
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:DENNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 147TH PL NE
Mailing Address - Street 2:B4
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-7190
Mailing Address - Country:US
Mailing Address - Phone:425-985-1434
Mailing Address - Fax:
Practice Address - Street 1:4421 147TH PL NE
Practice Address - Street 2:B4
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-7190
Practice Address - Country:US
Practice Address - Phone:425-985-1434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-13
Last Update Date:2010-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU60076277133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WANU60076277OtherSTATE OF WASHINGTON