Provider Demographics
NPI:1447621057
Name:MULL, DANA MARQUETTE (RD, CNSC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:MARQUETTE
Last Name:MULL
Suffix:
Gender:F
Credentials:RD, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 N PATRICK HENRY PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-1525
Mailing Address - Country:US
Mailing Address - Phone:520-850-7371
Mailing Address - Fax:520-742-1837
Practice Address - Street 1:7940 N PATRICK HENRY PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-1525
Practice Address - Country:US
Practice Address - Phone:520-850-7371
Practice Address - Fax:520-742-1837
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered