Betsy Crisafulli Nutrition
Organization Active NPI Clinic/Center · Southington, CT
NPI 1568710002 · NPPES record last updated Oct 27, 2012
Key facts
- NPI
- 1568710002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 962 (CT)
- Legal business name
- BETSY CRISAFULLI NUTRITION
- Practice address
- 100 Queen St
Suite 4G
Southington, CT 06489-2052 - Phone
- (860) 863-4601
- NPI assigned
- Aug 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Betsy Fisher Crisafulli, MS, RD, CDN
- Title
- Owner
- Phone
- (919) 630-2890
National Provider Directory
Locations
100 Queen St
Ste 4G
Southington, CT 06489
Phone (860) 863-4501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 962 | CT | Yes |
Addresses
Primary practice location
100 Queen St
Suite 4G
Southington, CT 06489-2052
Mailing address
251 S End Rd
Plantsville, CT 06479-1822
Phone (919) 630-2890
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.