| Ms Michelle Johnson Hines, RD | |
|
2470 S Val Vista Dr #104, Gilbert, AZ 85295 | |
| (602) 770-7611 | |
| Not Available |
| Full Name | Ms Michelle Johnson Hines |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2470 S Val Vista Dr #104, Gilbert, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609938711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 878146 (Illinois) | Primary |
| Provider Name | Andersons Nutrition |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316337652 PECOS PAC ID: 7810252699 Enrollment ID: O20181107002357 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Michelle Johnson Hines, RD 3820 W Happy Valley Road #141-187, Glendale, AZ 85310 Ph: (602) 770-7611 | Ms Michelle Johnson Hines, RD 2470 S Val Vista Dr #104, Gilbert, AZ 85295 Ph: (602) 770-7611 |
Devon D Wilson-torres, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1674 E Milky Way, Gilbert, AZ 85295 Phone: 480-329-8712 | |
Mrs. Danielle Alder, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4365 E Pecos Rd Ste 122, Gilbert, AZ 85295 Phone: 480-702-1884 Fax: 602-649-4005 | |
Elva Hooker, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3271 S Loback Ln, Gilbert, AZ 85297 Phone: 480-200-1303 | |
Mrs. Karin M Pryor, R.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2470 S Val Vista Dr, Suite #104, Gilbert, AZ 85295 Phone: 602-770-7611 Fax: 480-505-3077 | |
Paige Botten, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2473 S Higley Rd Ste 104-428, Gilbert, AZ 85295 Phone: 480-678-7580 | |
Megan Briggs, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3285 S Val Vista Dr, Gilbert, AZ 85297 Phone: 480-397-2800 | |
Agnes Koldenhoven, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2470 S Val Vista Dr Ste 104, Gilbert, AZ 85295 Phone: 602-770-7611 |