Provider Demographics
NPI:1699592832
Name:VERBOWSKI, VASHTI (RDN)
Entity type:Individual
Prefix:
First Name:VASHTI
Middle Name:
Last Name:VERBOWSKI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:VASHTI
Other - Middle Name:
Other - Last Name:TIMMERMANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10406 NE 113TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4322
Mailing Address - Country:US
Mailing Address - Phone:425-638-9278
Mailing Address - Fax:
Practice Address - Street 1:10406 NE 113TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4322
Practice Address - Country:US
Practice Address - Phone:425-638-9278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered