Mrs Desiree De Waal, RD | |
1 S Prospect St, Uhc Arnold 2318, Renal Clinic, Burlington, VT 05401-3456 | |
(802) 847-3203 | |
(802) 847-3607 |
Full Name | Mrs Desiree De Waal |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Renal |
Location | 1 S Prospect St, Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003900358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1005X | Dietitian, Registered - Nutrition, Renal | 074-0000171 (Vermont) | Primary |
Provider Name | University Of Vermont Medical Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Mailing Address | Practice Location Address |
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Mrs Desiree De Waal, RD 1 S Prospect St, Uhc Arnold 2318, Renal Clinic, Burlington, VT 05401-3456 Ph: (802) 847-3203 | Mrs Desiree De Waal, RD 1 S Prospect St, Uhc Arnold 2318, Renal Clinic, Burlington, VT 05401-3456 Ph: (802) 847-3203 |
Wendy Hess, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4324 | |
Mrs. Patricia Logan Mckibben, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3640 | |
Kimberly Swartz Doyle, Dietitian Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-1601 | |
Ellen Gloria Evans, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fletcher Allen Health Care, Burlington, VT 05401 Phone: 802-847-1400 | |
Ms. Linda Lee Tilton, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 1 S Prospect St, Fahc St. Joseph's 5th Floor, Uhc Campus, Burlington, VT 05401 Phone: 802-847-4576 | |
Gillian Dixon, MS, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 Bank St, Burlington, VT 05401 Phone: 937-760-5262 |