Provider Demographics
NPI:1750622460
Name:HOPPE, BARBARA JEAN MOONEY (MS, CN, IBCLC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN MOONEY
Last Name:HOPPE
Suffix:
Gender:F
Credentials:MS, CN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23625 34TH AVE W
Mailing Address - Street 2:
Mailing Address - City:BRIER
Mailing Address - State:WA
Mailing Address - Zip Code:98036-8451
Mailing Address - Country:US
Mailing Address - Phone:206-919-8322
Mailing Address - Fax:888-757-5050
Practice Address - Street 1:23625 34TH AVE W
Practice Address - Street 2:
Practice Address - City:BRIER
Practice Address - State:WA
Practice Address - Zip Code:98036-8451
Practice Address - Country:US
Practice Address - Phone:206-919-8322
Practice Address - Fax:888-757-5050
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU00001731133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist