Deana S Boucher in Middlebury - Dietitian, Registered
Deana S Boucher - NPI 1639335623
Deana S Boucher is a Dietitian, Registered in Middlebury, Connecticut. Deana S Boucher practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Deana S Boucher is 1639335623. The last update date is 2008-07-30.
Deana S Boucher's current location address is 590 Middlebury Rd, Middlebury, Connecticut. You can contact this provider via phone number 2037581004 and fax number 2037581551. The mailing address for Deana S Boucher is 590 Middlebury Rd, Middlebury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deana S Boucher |
|---|---|
| Address | 590 Middlebury Rd, Middlebury, Connecticut |
| Phone Number | 2037581004 |
| Fax Number | 2037581551 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1639335623 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
| Address | 590 Middlebury Rd |
|---|---|
| City | Middlebury |
| State | Connecticut (CT) |
| Post Code | 67622562 |
| Phone Number | 2037581004 |
| Fax Number | 2037581551 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 847 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identifier code issued to Deana S Boucher by the Centers for Medicare & Medicaid Services?
The Deana S Boucher has been assigned the NPI (National Provider Identifier) 1639335623. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Deana S Boucher located?
The Deana S Boucher is located at 590 Middlebury Rd, Middlebury, CT 67622562.
What is the Deana S Boucher's area of specialization and corresponding taxonomy classification?
The Deana S Boucher's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639335623 to Deana S Boucher?
The Centers for Medicare & Medicaid Services originally issued the 1639335623 to Deana S Boucher on 2008-07-30.
As of what date were the Deana S Boucher's details last updated?
The information pertaining to the Deana S Boucher, including its address, specialty, and other details, was most recently updated on 2008-07-30.
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