NPI 1003900358

Desiree de Waal, RD

Practitioner Renal Nutrition Registered Dietitian Burlington, VT

Practice location

Address: 1 S Prospect St Uhc Arnold 2318, Renal Clinic, Burlington, VT 05401-3456
Phone: (802) 847-3203
Fax: (802) 847-3607

Registered specialties

Renal Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1005X Licence 074-0000171 (VT)

Other Dietitian, Registered providers in Vermont →

Registry record

NPI: 1003900358
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.