NPI 1932523800 · live from the CMS NPI Registry
Mary Disanto
Dietitian, Registered in North Providence, RI. National Provider Identifier 1932523800, active.
NPI record
| NPI | 1932523800 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 200 High Service Ave, North Providence, RI 02904 |
| Practice phone | 401-456-3193 |
| Mailing address | 3 Longue Vue Ave, N Providence, RI 02904 |
| Enumerated | February 12, 2014 |
| Last updated | February 12, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN00035 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.