Provider Demographics
NPI:1548602543
Name:MILLER, FRANCES GALASYN (MPH, RDN)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:GALASYN
Last Name:MILLER
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 498
Mailing Address - Street 2:18490 SUQUAMISH WAY
Mailing Address - City:SUQUAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98392-0498
Mailing Address - Country:US
Mailing Address - Phone:360-394-8476
Mailing Address - Fax:360-598-6740
Practice Address - Street 1:18490 SUQUAMISH WAY NE
Practice Address - Street 2:
Practice Address - City:SUQUAMISH
Practice Address - State:WA
Practice Address - Zip Code:98392-9532
Practice Address - Country:US
Practice Address - Phone:360-394-8476
Practice Address - Fax:360-598-6740
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00000706133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered