Amanda Moon Poulin in Bangor - Dietitian, Registered
Amanda Moon Poulin - NPI 1649291006
Amanda Moon Poulin is a Dietitian, Registered in Bangor, Maine. Amanda Moon Poulin practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Amanda Moon Poulin is 1649291006. The last update date is 2007-07-08.
Amanda Moon Poulin's current location address is 905 Union St, Bangor, Maine. You can contact this provider via phone number 2070973733 and fax number 2079737424. The mailing address for Amanda Moon Poulin is 905 Union St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Moon Poulin |
|---|---|
| Address | 905 Union St, Bangor, Maine |
| Phone Number | 2070973733 |
| Fax Number | 2079737424 |
| Sole Proprietor | Y |
| Credentials | RD,LD,CDE |
NPI Number Detail
| NPI Number | 1649291006 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 905 Union St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44013050 |
| Phone Number | 2070973733 |
| Fax Number | 2079737424 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | D1736 |
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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 Amanda Moon Poulin's unique identification number?
The Amanda Moon Poulin has been assigned the NPI (National Provider Identifier) Number 1649291006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Amanda Moon Poulin?
The Amanda Moon Poulin is physically situated at 905 Union St, in the city of Bangor, state of ME, with the postal code 44013050.
What is the Amanda Moon Poulin's specialty and taxonomy code?
The Amanda Moon Poulin's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649291006 to Amanda Moon Poulin?
The Centers for Medicare & Medicaid Services originally issued the 1649291006 to Amanda Moon Poulin on 2006-07-21.
When was the information pertaining to Amanda Moon Poulin most recently updated or revised?
The details related to Amanda Moon Poulin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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