Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEIDI SUSANNE FENNELL, DC, FICPA
Active Sole ProprietorDR. HEIDI SUSANNE FENNELL, DC, FICPA is a Nutrition (Chiropractor) healthcare provider located in GLENDALE, California. NPI 1609969120 is currently active in the NPPES registry. Verify at CMS.
Nutrition (Chiropractor) · GLENDALE, CA
Registration Details
- NPI Number
- 1609969120
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.89740647943 yrs)
- Last Updated
- May 3, 2019
- License
-
DC29506 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
230 N MARYLAND AVE STE 309GLENDALE, CA, 912064281Browse CA providers · Browse ZIP 91206
- Phone
- 8185491300
- Fax
- 8185490075
- Primary Specialty
-
Nutrition (Chiropractor)
111NN1001X
Other Nutrition (Chiropractor) Providers in GLENDALE, CA
| Name | Credential | NPI |
|---|---|---|
| TENI MINAEIAN | DC | 1124549605 |
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.