Doctor Name: | MS. NANCY CLARK |
NPI Number: | 1124116116 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD |
License Number: | #736 |
Business Practice Address: | 1300 Boylston St Health Works Fitness Center Chestnut Hill, MA - 02467 |
Business Phone Number: | 6173836100 |
Business Fax Number: | 6177951876 |
Mailing Address: | Po Box 650124, 60 Lindbergh Ave WEST NEWTOWN |
State: | MA |
Postal Code: | 02465 |
Phone Number: | 6177951875 |
Fax Number: | 6177951876 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | #736 |
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 |