Individual provider · Type 1 NPI

Chad Hetherwick, MS, RDN

Registered Dietitian · Prescott Valley, AZ

NPI number 1104023969 Active

Practice location

8508 N Prairie Vw
Prescott Valley, AZ 86315-9089

Fax (928) 772-8078

Mailing address

PO Box 10214
Prescott, AZ 86304-0214

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian 133VN1004XNone listed
Renal Nutrition Registered Dietitian 133VN1005XNone listed
Metabolic Nutrition Registered Dietitian 133VN1006XNone listed
Registered Dietitian Primary 133V00000X960912

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

2 other providers at this address

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About NPI 1104023969

Chad Hetherwick, MS, RDN's National Provider Identifier is 1104023969, issued on Jun 27, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Prescott Valley, AZ. The record was last updated on Nov 3, 2020.