Provider Demographics
NPI:1972899201
Name:MCWHIRTER, KATIE J (MS, RD)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:J
Last Name:MCWHIRTER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 E MINTON DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-6725
Mailing Address - Country:US
Mailing Address - Phone:480-839-1288
Mailing Address - Fax:
Practice Address - Street 1:237 E MINTON DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-6725
Practice Address - Country:US
Practice Address - Phone:480-839-1288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered