Provider Demographics
NPI:1184494023
Name:WESTFIELD, MONICA (RDN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:WESTFIELD
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 HI LINE DR APT 1111
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-3535
Mailing Address - Country:US
Mailing Address - Phone:423-303-8386
Mailing Address - Fax:
Practice Address - Street 1:1930 HI LINE DR APT 1111
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-3535
Practice Address - Country:US
Practice Address - Phone:423-303-8386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN86297862133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered