NPI 1396322954 · live from the CMS NPI Registry
Linna Douk, RDN
Dietitian, Registered in Providence, RI. National Provider Identifier 1396322954, active.
NPI record
| NPI | 1396322954 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 111 Plain St, Providence, RI 02903 |
| Practice phone | 401-444-5426 |
| Mailing address | 117 Ellenfield St, Providence, RI 02905 |
| Enumerated | March 28, 2021 |
| Last updated | November 12, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | LDN01167 (RI) |
| Dietitian, Registered primary | 133V00000X | LDN01167 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.