Provider Demographics
NPI:1669789582
Name:VANLUVEN, GINA (HC)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:
Last Name:VANLUVEN
Suffix:
Gender:F
Credentials:HC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8813 CHEYENNE WAY
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-5854
Mailing Address - Country:US
Mailing Address - Phone:435-565-2062
Mailing Address - Fax:435-213-2803
Practice Address - Street 1:8813 CHEYENNE WAY
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-5854
Practice Address - Country:US
Practice Address - Phone:435-565-2062
Practice Address - Fax:435-213-2803
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education