Provider Demographics
NPI:1679348825
Name:DHANENS, LINDSAY (FDN-P)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:DHANENS
Suffix:
Gender:F
Credentials:FDN-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13113 SAN SIMEON AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-3791
Mailing Address - Country:US
Mailing Address - Phone:916-206-0301
Mailing Address - Fax:
Practice Address - Street 1:13113 SAN SIMEON AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-3791
Practice Address - Country:US
Practice Address - Phone:916-206-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist