Provider Demographics
NPI:1386988947
Name:SEMANIE, HEIDI (ND)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:SEMANIE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 POINDEXTER AVE W
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-4336
Mailing Address - Country:US
Mailing Address - Phone:413-530-7619
Mailing Address - Fax:
Practice Address - Street 1:15610 NE WOODINVILLE DUVALL RD STE 108
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-7069
Practice Address - Country:US
Practice Address - Phone:425-489-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND230175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath