Patricia Ann Petrillo in Providence - Nutrition, Renal
Patricia Ann Petrillo - NPI 1912177734
Patricia Ann Petrillo is a Nutrition, Renal in Providence, Rhode Island. Patricia Ann Petrillo practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Patricia Ann Petrillo is 1912177734. The last update date is 2008-03-07.
Patricia Ann Petrillo's current location address is 1076 N Main St, Providence, Rhode Island. You can contact this provider via phone number 4018617711 and fax number 4014215710. The mailing address for Patricia Ann Petrillo is 1076 N Main St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Ann Petrillo |
|---|---|
| Address | 1076 N Main St, Providence, Rhode Island |
| Phone Number | 4018617711 |
| Fax Number | 4014215710 |
| Sole Proprietor | Y |
| Credentials | RD,LDN |
NPI Number Detail
| NPI Number | 1912177734 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 1076 N Main St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29045760 |
| Phone Number | 4018617711 |
| Fax Number | 4014215710 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | LDN00425 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the unique identifier code issued to Patricia Ann Petrillo by the Centers for Medicare & Medicaid Services?
The Patricia Ann Petrillo has been assigned the NPI (National Provider Identifier) 1912177734. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Patricia Ann Petrillo's physical address?
The Patricia Ann Petrillo is physically located at 1076 N Main St, in the city of Providence, RI, with the postal code 29045760.
What is Patricia Ann Petrillo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patricia Ann Petrillo is Nutrition, Renal, and the taxonomy code that categorizes this field of expertise is 133Vn1005X.
On what date did the Patricia Ann Petrillo receive the assignment of its 1912177734 from the Centers for Medicare & Medicaid Services?
The Patricia Ann Petrillo was issued its 1912177734 by the Centers for Medicare & Medicaid Services on 2008-03-07.
When was the Patricia Ann Petrillo's information last updated?
The Patricia Ann Petrillo's information was last updated on 2008-03-07.