NPI 1396353561 · live from the CMS NPI Registry
360girls&Women
Dietitian, Registered in Hopkinton, MA. National Provider Identifier 1396353561, active.
NPI record
| NPI | 1396353561 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 45 Granite St, Hopkinton, MA 01748 |
| Practice phone | 352-871-3022 |
| Mailing address | Po Box 792, Hopkinton, MA 01748 |
| Enumerated | July 14, 2020 |
| Last updated | July 14, 2020 |
| Authorized official | Sue-Ellen Anderson-Haynes, Owner & Founder |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist, Nutrition, Education | 133NN1002X | — |
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.