IndividualActive
Desiree De Waal, R.D.
NPI 1003900358 · Renal Nutrition Registered Dietitian · Burlington, VT
Provider details
- NPI number
- 1003900358
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 074-0000171 (VT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1 S Prospect St
Uhc Arnold 2318, Renal Clinic
Burlington, VT 05401-3456
Phone: (802) 847-3203
Fax: (802) 847-3607
Approximate (ZIP-level) locationGet directions
Mailing address
1 S Prospect St
Burlington, VT 05401-3456
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.