Doctor Name: | PATRICIA ANNA VASCONCELLOS |
NPI Number: | 1053366849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CDE, LDN |
License Number: | 817115 |
Business Practice Address: | 133 Falmouth Rd Mashpee, MA - 026492611 |
Business Phone Number: | 5082461724 |
Business Fax Number: | 5084328282 |
Mailing Address: | 7 Walkerwoods Dr, EAST HARWICH |
State: | MA |
Postal Code: | 026452060 |
Phone Number: | 5084304461 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 817115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |