Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY ELIZABETH POLHAMUS, RD
ActiveNutrition, Education · MAPLE VALLEY, WA
Registration Details
- NPI Number
- 1336665959
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2017 (8.7233730860852 yrs)
- Last Updated
- Oct 2, 2024
- Licenses
-
DI60752527 (WA)DI60752527 (WA)
Practice Information
- Address
-
24060 SE KENT KANGLEY RD STE D100MAPLE VALLEY, WA, 980386851Browse WA providers · Browse ZIP 98038
- Phone
- 4256903522
- Fax
- 4256909522
- Primary Specialty
-
Nutrition, Education
133NN1002X
- Additional Specialty
- Registered Dietitian
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.