NPI 1003594458 · live from the CMS NPI Registry
Michael Henze, RDN
Dietitian, Registered in Wailuku, HI. National Provider Identifier 1003594458, active.
NPI record
| NPI | 1003594458 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 470 Lilihua Pl, Wailuku, HI 96793 |
| Practice phone | 855-249-9992 |
| Enumerated | July 6, 2023 |
| Last updated | July 6, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.