NPI 1396573135 · live from the CMS NPI Registry
Vanessa Jeannette Beauregard
Dietitian, Registered in Arlington, MA. National Provider Identifier 1396573135, active.
NPI record
| NPI | 1396573135 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 30 Standish Rd, Arlington, MA 02476 |
| Practice phone | 781-999-4975 |
| Mailing address | 42 Franklin St, Newburyport, MA 01950 |
| Enumerated | July 23, 2024 |
| Last updated | July 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDNNE101170 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.