Organization · Type 2 NPI
Evergreen Pediatric Nutrition LLC
Pediatric Nutrition Registered Dietitian · Renton, WA
Practice location
2440 Ferndale Pl NE
Renton, WA 98056-8374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nutrition Registered Dietitian Primary | 133VN1004X | None listed |
Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…
About NPI 1124950845
Evergreen Pediatric Nutrition LLC's National Provider Identifier is 1124950845, issued on May 29, 2026. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Renton, WA. The record was last updated on May 29, 2026.