Doctor Name: | LUANNE PETRIE |
NPI Number: | 1013971878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 610878 |
Business Practice Address: | 300 2nd Ave Suite 021 Long Branch, NJ - 077406303 |
Business Phone Number: | 7329236085 |
Business Fax Number: | 7329236087 |
Mailing Address: | 100 Hwy 36, Suite 2c WEST LONG BRANCH |
State: | NJ |
Postal Code: | 077641453 |
Phone Number: | 7329236085 |
Fax Number: | 7329236087 |
NPI Enumeration Date: | 04/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 610878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |