Brooke Staats RD, LDN, CNSC

NPI 1205142130 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1205142130
Gender Female
Enumeration Date 08/30/2010
Last Updated 08/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1153 CENTRE ST
BOSTON MA, 02130-3446, US
Phone (617) 983-4455
Fax
Business Location
1153 CENTRE ST
BOSTON MA, 02130-3446, US
Phone
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Massachusetts
License Number 2642
Remove 1205142130 NPI Number
 

According to our database, Brooke Staats RD, LDN, CNSC NPI is 1205142130, taxonomy code is 133V00000X and license number is 2642, license state is located at Massachusetts. Brooke Staats RD, LDN, CNSC physically located at 1153 Centre St, Boston MA, 02130-3446. NPI Number Brooke Staats RD, LDN, CNSC has the Individual type.

Sponsored links

1205142130 NPI number is provided on an as is basis without warranty of any kind. 1205142130 is maintained by the National Plan & Provider Enumeration System. The contents of Brooke Staats RD, LDN, CNSC are for informational purposes only.