NPI 1659668366 · live from the CMS NPI Registry
Elizabeth Austin Avery, MS RD CSO LDN CNSC
Dietitian, Registered in Milton, MA. National Provider Identifier 1659668366, active.
NPI record
| NPI | 1659668366 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 364 Granite Ave, Milton, MA 02186 |
| Practice phone | 617-698-0260 |
| Mailing address | 191 Saint Botolph St, Apt. 4, Boston, MA 02115 |
| Enumerated | July 1, 2011 |
| Last updated | August 22, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3015 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.