Tracy Cardelli in So Portland - Dietitian, Registered
Tracy Cardelli - NPI 1962442368
Tracy Cardelli is a Dietitian, Registered in So Portland, Maine. Tracy Cardelli practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Tracy Cardelli is 1962442368. The last update date is 2013-06-03.
Tracy Cardelli's current location address is 39 Wallace Ave, So Portland, Maine. You can contact this provider via phone number 2077610650 and fax number 2077618198. The mailing address for Tracy Cardelli is 39 Wallace Ave, So Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Cardelli |
|---|---|
| Address | 39 Wallace Ave, So Portland, Maine |
| Phone Number | 2077610650 |
| Fax Number | 2077618198 |
| Sole Proprietor | N |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1962442368 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2013-06-03 |
Provider Mailing Address Detail
| Address | 39 Wallace Ave |
|---|---|
| City | So Portland |
| State | Maine (ME) |
| Post Code | 41066143 |
| Phone Number | 2077610650 |
| Fax Number | 2077618198 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | D1438 |
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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 10-digit identifier code assigned to Tracy Cardelli by the Centers for Medicare & Medicaid Services?
The Tracy Cardelli has been issued the NPI (National Provider Identifier) 1962442368 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Tracy Cardelli is physically located?
The Tracy Cardelli is situated at the following address: 39 Wallace Ave, So Portland, ME 41066143.
What is Tracy Cardelli's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy Cardelli's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
On what date did the Tracy Cardelli receive its 1962442368 assignment from the Centers for Medicare & Medicaid Services?
The Tracy Cardelli was assigned its 1962442368 by the Centers for Medicare & Medicaid Services on 2006-06-07.
When was the information regarding Tracy Cardelli most recently updated?
The details pertaining to the Tracy Cardelli, including its address, specialty, and other relevant information, were last refreshed on 2013-06-03.
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