Provider Demographics
NPI:1366184681
Name:HE, YANSHU (RD)
Entity type:Individual
Prefix:
First Name:YANSHU
Middle Name:
Last Name:HE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9274 AUBURN CT
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7816
Mailing Address - Country:US
Mailing Address - Phone:614-620-9068
Mailing Address - Fax:
Practice Address - Street 1:9274 AUBURN CT
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7816
Practice Address - Country:US
Practice Address - Phone:614-620-9068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered