Provider Demographics
NPI:1639721566
Name:BELLERS, DARLENE E (MS, RDN, CSOWM)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:E
Last Name:BELLERS
Suffix:
Gender:F
Credentials:MS, RDN, CSOWM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7290 TEXTILE RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-8992
Mailing Address - Country:US
Mailing Address - Phone:586-322-1545
Mailing Address - Fax:
Practice Address - Street 1:845 W. CIRCLE DR
Practice Address - Street 2:SUITE 160
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-487-6572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-11
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1008441133VN1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management