Provider Demographics
NPI:1801212204
Name:PRICE, MARLA KATHERINE (RD)
Entity Type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:KATHERINE
Last Name:PRICE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:MARLA
Other - Middle Name:K
Other - Last Name:GUTTING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 S. WASHINGTON
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601
Mailing Address - Country:US
Mailing Address - Phone:989-907-8749
Mailing Address - Fax:989-907-8207
Practice Address - Street 1:800 S. WASHINGTON
Practice Address - Street 2:ST. MARYS OF MICHIGAN
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601
Practice Address - Country:US
Practice Address - Phone:989-907-8749
Practice Address - Fax:989-907-8207
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1073129133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered