Provider Demographics
NPI:1942753421
Name:MEY-ALTENBURGER, VALERIE ALISON (MS, RDN, CSOWM, CD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ALISON
Last Name:MEY-ALTENBURGER
Suffix:
Gender:F
Credentials:MS, RDN, CSOWM, CD
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:MEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 N MEDICAL DR # WA215
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:435-640-4426
Mailing Address - Fax:
Practice Address - Street 1:50 N MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:435-640-4426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9868861-4901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered