Doctor Name: | ABIGAIL M WADSWORTH |
NPI Number: | 1205122058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CD |
License Number: | 074.0069760 |
Business Practice Address: | 194 North St Apt 12 Burlington, VT - 054014231 |
Business Phone Number: | 8023994591 |
Business Fax Number: | |
Mailing Address: | 194 North St, Apt 12 BURLINGTON |
State: | VT |
Postal Code: | 054014231 |
Phone Number: | 8023994591 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2011 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 074.0069760 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |