MEDICARE: STEPHANIE ANN VOYTEK RDN, CD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DI60936221	WA

General Provider Information

NPI Number	:	1194341339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ANN VOYTEK RDN, CD

Provider Business Mailing Address
First Line	:	2911 2ND AVE UNIT 201
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-3042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 2ND AVE UNIT 201
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-3042
Country	:	US
Telephone Number	:	203-331-2609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2020
Last Update Date	:	03/10/2025

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