NPI 1083647044 · live from the CMS NPI Registry
Marianne Bates, RD
Dietitian, Registered, Nutrition, Metabolic in Providence, RI. National Provider Identifier 1083647044, active.
NPI record
| NPI | 1083647044 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Metabolic 133VN1006X |
| Practice location | 830 Chalkstone Ave, Providence, RI 02908 |
| Practice phone | 401-273-7100 |
| Mailing address | 80 Fairoaks Ave, Providence, RI 02908 |
| Enumerated | July 9, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Metabolic primary | 133VN1006X | LDN00328 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.