Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 3160 | WA |
NPI | 1649473406 |
---|---|
Provider Name | Dr. Heidi Geier |
First Address | Kirkland, WA 98033-5665 |
Second Address | Kirkland, WA 98033-5665 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
107650 | L&I # (01) | WA |
3160 | LICENSE NUMBER (01) | WA |
U62212 | (02) | WA |