Provider Demographics
NPI:1427834126
Name:LINXWILER, ASH NICOLE (MPH, RD)
Entity type:Individual
Prefix:MRS
First Name:ASH
Middle Name:NICOLE
Last Name:LINXWILER
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8812 48TH AVE E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98446-5516
Mailing Address - Country:US
Mailing Address - Phone:253-961-5920
Mailing Address - Fax:
Practice Address - Street 1:8812 48TH AVE E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98446-5516
Practice Address - Country:US
Practice Address - Phone:253-961-5920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI61459608133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty