Provider Demographics
NPI:1538977699
Name:ALLEN, HANNAH MARIE (MS, RD, CD, CIEC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MS, RD, CD, CIEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E MOUNTAIN VIEW AVE STE 502
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-4802
Mailing Address - Country:US
Mailing Address - Phone:509-731-4681
Mailing Address - Fax:
Practice Address - Street 1:700 E MOUNTAIN VIEW AVE STE 502
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-4802
Practice Address - Country:US
Practice Address - Phone:509-731-4681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI61637804133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered