Provider Demographics
NPI:1386517910
Name:DEAN, MELANIE RENEE (RD)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:RENEE
Last Name:DEAN
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 1:10024 BURNHAM DR NW UNIT 4B
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-7821
Mailing Address - Country:US
Mailing Address - Phone:360-649-7414
Mailing Address - Fax:
Practice Address - Street 1:10024 BURNHAM DR NW UNIT 4B
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-7821
Practice Address - Country:US
Practice Address - Phone:360-649-7414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI61478465133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered