Doctor Name: | EMMA JANE DENTON |
NPI Number: | 1346613346 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD |
License Number: | |
Business Practice Address: | 621 Dexter St Central Falls, RI - 028632742 |
Business Phone Number: | 4017290010 |
Business Fax Number: | |
Mailing Address: | 153 Summer St, PROVIDENCE |
State: | RI |
Postal Code: | 029034011 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/12/2015 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Pediatric |
Taxonomy Definition: |