Provider Demographics
NPI:1558671644
Name:NEALE, NADENE MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:NADENE
Middle Name:MARIE
Last Name:NEALE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 D ST STE 5
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3376
Mailing Address - Country:US
Mailing Address - Phone:360-836-5730
Mailing Address - Fax:360-326-1931
Practice Address - Street 1:1801 D ST STE 5
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3376
Practice Address - Country:US
Practice Address - Phone:360-836-5730
Practice Address - Fax:360-326-1931
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1780175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath