Provider Demographics
NPI:1447827910
Name:COE, COURTNEY (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:COE
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:VANDE VORDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN, LDN, CSCS
Mailing Address - Street 1:4500 WILMINGTON PIKE APT 206
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-1945
Mailing Address - Country:US
Mailing Address - Phone:616-403-8239
Mailing Address - Fax:
Practice Address - Street 1:325 N MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-8005
Practice Address - Country:US
Practice Address - Phone:937-371-3450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered