Healthcare Provider Details

I. General information

NPI: 1619684750
Provider Name (Legal Business Name): NAMASTE NUTRITIONIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2022
Last Update Date: 11/28/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22002 64TH AVE W
MOUNTLAKE TERRACE WA
98043
US

IV. Provider business mailing address

1523 132ND ST SE STE C
EVERETT WA
98208-7200
US

V. Phone/Fax

Practice location:
  • Phone: 206-486-5108
  • Fax: 206-331-4193
Mailing address:
  • Phone: 206-486-5108
  • Fax: 206-331-4193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MRS. FRANCES L ARNOLD
Title or Position: FOUNDER, SENIOR DIETITIAN
Credential: RDN
Phone: 206-486-5108