Melonie S. Trudell, RD, CDE
Individual provider Active NPI Metabolic Nutrition Registered Dietitian · Inchelium, WA
NPI 1568635993 · NPPES record last updated Apr 7, 2008
Key facts
- NPI
- 1568635993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Metabolic Nutrition Registered Dietitian 133VN1006X
- License
- 845854 (WA)
- Practice address
- 2510 Hall Creek Rd
Inchelium, WA 99138-9503 - Phone
- (509) 722-7060
- Fax
- (509) 722-7088
- NPI assigned
- Apr 7, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 845854 | WA | MD | Metabolic Nutrition Registered Dietitian |
| 20420488 | WA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 845854 | WA | Yes |
| Specialist | 174400000X | 20420488 | WA |
Addresses
Primary practice location
2510 Hall Creek Rd
Inchelium, WA 99138-9503
Mailing address
2510 Hall Creek Rd
Inchelium, WA 99138-9503
Phone (509) 722-7060
Other providers in Inchelium, WA
- Rebecca Stillwell
- Brandi Swan
- Tyrell Allen Tonasket
- Maria Teresa Ouano Trevino
- Rodolfo Nieto Trevino
All providers in Inchelium, WA · Metabolic Nutrition Registered Dietitian in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.