Provider Demographics
NPI:1760412944
Name:STEINER, JULIANNE S (RD)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:S
Last Name:STEINER
Suffix:
Gender:F
Credentials:RD
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 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:801-387-7900
Mailing Address - Fax:801-387-7910
Practice Address - Street 1:4403 HARRISON BLVD
Practice Address - Street 2:STE 3630
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-3271
Practice Address - Country:US
Practice Address - Phone:801-387-7900
Practice Address - Fax:801-387-7910
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1100114901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered