Doctor Name: | MISS ANICK PAULINE DESORCY |
NPI Number: | 1922189786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 0740000150 |
Business Practice Address: | 189 Prouty Dr Newport, VT - 058559326 |
Business Phone Number: | 8023344155 |
Business Fax Number: | 8023343585 |
Mailing Address: | 10 Pleasant Street, STANSTEAD |
State: | QUEBEC |
Postal Code: | J0B3E2 |
Phone Number: | 8198762596 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 0740000150 |
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 |