Judith Donnelly in Portland - Dietitian, Registered

Judith Donnelly - NPI 1356353452

Judith Donnelly is a Dietitian, Registered in Portland, Maine. Judith Donnelly practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Judith Donnelly is 1356353452. The last update date is 2007-07-09.

Judith Donnelly's current location address is 805 Stevens Ave, Portland, Maine. You can contact this provider via phone number 2077726279 and fax number 2077726279. The mailing address for Judith Donnelly is 805 Stevens Ave, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith Donnelly
Address 805 Stevens Ave, Portland, Maine
Phone Number 2077726279
Fax Number 2077726279
Sole Proprietor Y
Credentials R.D.,L.D.

NPI Number Detail

NPI Number 1356353452
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 805 Stevens Ave
City Portland
State Maine (ME)
Post Code 41032626
Phone Number 2077726279
Fax Number 2077726279

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No D1433
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11339866 ME CAQH PROVIDER ID

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FAQs about Judith Donnelly

What is the unique 10-digit identifier code assigned to Judith Donnelly by the Centers for Medicare & Medicaid Services?

The Judith Donnelly has been issued the NPI (National Provider Identifier) 1356353452 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Judith Donnelly?

The Judith Donnelly is physically situated at 805 Stevens Ave, in the city of Portland, state of ME, with the postal code 41032626.

What is Judith Donnelly's specialized field of practice, and what is the corresponding taxonomy classification code?

The Judith Donnelly's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.

When did Judith Donnelly receive its 1356353452 assignment?

The Judith Donnelly was assigned its 1356353452 on 2006-08-13, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Judith Donnelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Judith Donnelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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