Provider Demographics
NPI:1356590111
Name:HINDER, MARIANNE (RD, CD, CDE)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:HINDER
Suffix:
Gender:F
Credentials:RD, CD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 NORTHWESTERN AVE
Mailing Address - Street 2:RACINE COMMUNITY HEALTH CENTER
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53404-2534
Mailing Address - Country:US
Mailing Address - Phone:262-886-0474
Mailing Address - Fax:262-886-1672
Practice Address - Street 1:2405 NORTHWESTERN AVE
Practice Address - Street 2:RACINE COMMUNITY HEALTH CENTER
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53404-2534
Practice Address - Country:US
Practice Address - Phone:262-886-0474
Practice Address - Fax:262-886-1672
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered