Provider Demographics
NPI:1952108615
Name:CURTIS, JOSETTE (RD)
Entity type:Individual
Prefix:
First Name:JOSETTE
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 FIR CREST CT
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-8763
Mailing Address - Country:US
Mailing Address - Phone:360-873-1474
Mailing Address - Fax:360-925-3207
Practice Address - Street 1:4402 FIR CREST CT
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-8763
Practice Address - Country:US
Practice Address - Phone:360-873-1474
Practice Address - Fax:360-925-3207
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI60888214133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered