Michelle Anderson

Individual provider Active NPI Registered Dietitian · Warwick, RI

NPI 1477582971 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1477582971
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LDN00424 (RI)
Practice address
2191 Post Rd
Warwick, RI 02886-1532
Phone
(401) 732-3066
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LDN00424RIMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN00424 RI Yes

Addresses

Primary practice location

2191 Post Rd
Warwick, RI 02886-1532

Mailing address

2191 Post Rd
Warwick, RI 02886-1532
Phone (401) 732-3066

Other providers in Warwick, RI

All providers in Warwick, RI · Registered Dietitian in Rhode Island

Sources for this page

Verify at the official NPI Registry.