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MARYSE S ETHIER RD NPI 1356932297


NPI Information

NPI: 1356932297
Provider Name: MARYSE S ETHIER, RD
Classification: Dietitian, Registered - 133VN1201X
Entity Type: Individual

Specialization: Nutrition, Obesity and Weight Management

Address:
3841 BASILONE ST UNIT 4
SAN DIEGO, CA
ZIP 92110
Phone: (706) 830-1159
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Maryse S Ethier, RD is a nutrition and obesity and weight management dietitian registered in San Diego, CA. The provider is an individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions. Maryse S Ethier, RD NPI is 1356932297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3841 BASILONE ST UNIT 4
SAN DIEGO, CA
ZIP 92110-409
Phone: (706) 830-1159

The enumeration date for this NPI number is 2/2/2021 and was last updated on 2/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1201XDietitian, RegisteredNutrition, Obesity and Weight Management86115712GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
186115712OTHERCDR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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