NPI 1194142919 · live from the CMS NPI Registry
Mary Broe, RD, LDN
Dietitian, Registered in North Scituate, RI. National Provider Identifier 1194142919, active.
NPI record
| NPI | 1194142919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 11 Paris Irons Rd, North Scituate, RI 02857 |
| Practice phone | 240-678-9366 |
| Mailing address | 167 Point St, Providence, RI 02903 |
| Enumerated | March 19, 2014 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN00759 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.