Provider Demographics
NPI:1881200236
Name:WHEELER, ZELLA MIA (RDN, CD)
Entity Type:Individual
Prefix:
First Name:ZELLA
Middle Name:MIA
Last Name:WHEELER
Suffix:
Gender:F
Credentials:RDN, CD
Other - Prefix:
Other - First Name:ZELLA
Other - Middle Name:MIA
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 BELLWETHER WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2914
Mailing Address - Country:US
Mailing Address - Phone:360-739-1278
Mailing Address - Fax:
Practice Address - Street 1:16404 SMOKEY POINT BLVD STE 308
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8417
Practice Address - Country:US
Practice Address - Phone:360-739-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered