Kelly Lynn Tetrault-Stella in Granby - Dietitian, Registered
Kelly Lynn Tetrault-Stella - NPI 1770747255
Kelly Lynn Tetrault-Stella is a Dietitian, Registered in Granby, Massachusetts. Kelly Lynn Tetrault-Stella practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Kelly Lynn Tetrault-Stella is 1770747255. The last update date is 2011-11-01.
Kelly Lynn Tetrault-Stella's current location address is 64 Aldrich St, Granby, Massachusetts. You can contact this provider via phone number 4135305819. The mailing address for Kelly Lynn Tetrault-Stella is 64 Aldrich St, Granby, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lynn Tetrault-Stella |
|---|---|
| Address | 64 Aldrich St, Granby, Massachusetts |
| Phone Number | 4135305819 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1770747255 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2011-11-01 |
Provider Mailing Address Detail
| Address | 64 Aldrich St |
|---|---|
| City | Granby |
| State | Massachusetts (MA) |
| Post Code | 10339718 |
| Phone Number | 4135305819 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 2451 |
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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 identification code assigned to Kelly Lynn Tetrault-Stella by the Centers for Medicare & Medicaid Services?
The Kelly Lynn Tetrault-Stella has been issued the NPI (National Provider Identifier) 1770747255. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelly Lynn Tetrault-Stella is physically located?
The Kelly Lynn Tetrault-Stella is situated at the following address: 64 Aldrich St, Granby, MA 10339718.
What is Kelly Lynn Tetrault-Stella's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Lynn Tetrault-Stella is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
When did Kelly Lynn Tetrault-Stella receive its 1770747255 assignment?
The Kelly Lynn Tetrault-Stella was assigned its 1770747255 on 2008-07-15, which is the date when this unique identifier was issued to the organization.
When was the Kelly Lynn Tetrault-Stella's information last updated?
The Kelly Lynn Tetrault-Stella's information was last updated on 2011-11-01.