Provider Demographics
NPI:1548148570
Name:RASMUSSEN, MARIE LIZBETH (RDN)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:LIZBETH
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 SHARPSBURG CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1723
Mailing Address - Country:US
Mailing Address - Phone:334-796-5410
Mailing Address - Fax:
Practice Address - Street 1:39 HANOVER CIR S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1703
Practice Address - Country:US
Practice Address - Phone:205-322-4197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5814133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered