NPI 1457718140 · live from the CMS NPI Registry
Amy Allison
Dietitian, Registered in Brockton, MA. National Provider Identifier 1457718140, active.
NPI record
| NPI | 1457718140 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 63 Main St, Brockton, MA 02301 |
| Practice phone | 508-559-6699 |
| Enumerated | January 26, 2016 |
| Last updated | January 26, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1413 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.