Doctor Name: | MARY LYNNE HIXSON |
NPI Number: | 1124297775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | LDN00107 |
Business Practice Address: | One Hoppin St. Coro Center, 3rd Floor Providence, RI - 02903 |
Business Phone Number: | 4017938790 |
Business Fax Number: | 4017938709 |
Mailing Address: | Po Box 3238, BOSTON |
State: | MA |
Postal Code: | 02241 |
Phone Number: | 8666898862 |
Fax Number: | 2073477401 |
NPI Enumeration Date: | 02/28/2008 |
NPI Last Update Date: | 03/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LDN00107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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 |