| Nicole Chestnut, RDN | |
|
1000 Wallace Way, Grandview, WA 98930-8805 | |
| (509) 882-3444 | |
| (509) 882-1097 |
| Full Name | Nicole Chestnut |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1000 Wallace Way, Grandview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568173706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI61302582 (Washington) | Primary |
| Provider Name | Yakima Valley Farm Workers Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295788602 PECOS PAC ID: 4385541986 Enrollment ID: O20040211000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Chestnut, RDN 1000 Wallace Way, Grandview, WA 98930-8805 Ph: (509) 882-3444 | Nicole Chestnut, RDN 1000 Wallace Way, Grandview, WA 98930-8805 Ph: (509) 882-3444 |
Mrs. Marcia Karin Wagner, M.S., R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-4707 Fax: 509-882-3961 | |
Paige Briggs, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 | |
Laura Sutherland, RD, CD, MS Dietitian Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 | |
Sophia Kathryn Dunlap, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 | |
Pitchaya Pattasema, Dietitian Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 | |
Miss Kelli Anne Lytle, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-4707 |