Mary Elizabeth Douglas, CN
Nutritionist in Redmond, WA. Individual provider (NPI-1).
NPI number1982123857
StatusActive
Last updated in NPPESSep 12, 2017
Details
- NPI
- 1982123857
- Entity type
- Individual (NPI-1)
- Name
- Mary Elizabeth Douglas
- Credential
- CN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2017
- Last updated
- Sep 12, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | NU60794847 | WA | Yes |
Practice location
15965 Ne 85th St Ste 102Redmond, WA 98052-3593
Phone 425-882-9065
Mailing address
7903 170th Pl Ne Apt 103Redmond, WA 98052-4432
Phone 302-388-8518
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nutritionist providers in Redmond, WA
- John Walter Cartmell, CNNPI 1992882187
- Carole FreemanNPI 1235552985
- Dilbar MurtazinaNPI 1447588215
- Brittany Ruehr, NTPNPI 1306667415
All 5 Nutritionist providers in Redmond · All 2,211 providers in Redmond
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