Heather E Dusseau

Individual provider Active NPI Registered Dietitian · Newark, DE

NPI 1548633449 · NPPES record last updated Nov 2, 2015

Key facts

NPI
1548633449
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DN-0000598 (DE)
Practice address
190 Salem Church Rd
Christiana High School Wellness Center
Newark, DE 19713-2938
Phone
(302) 454-5421
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN-0000598DEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN-0000598 DE Yes

Addresses

Primary practice location

190 Salem Church Rd
Christiana High School Wellness Center
Newark, DE 19713-2938

Mailing address

200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049

Other providers in Newark, DE

All providers in Newark, DE · Registered Dietitian in Delaware

Sources for this page

Verify at the official NPI Registry.