Active NPIIndividual providerSole proprietor

Amanda M Laezza, RDN

Dietitian, Registered in Providence, Rhode Island

NPI Number1124887971
Practice location
383 W Fountain St Ste 115, Providence, RI 02903-3515
Fax
—
Last updated
June 17, 2024

Amanda Maria Laezza is a Dietitian, Registered based in Providence, RI. Amanda Maria Laezza practices in Providence, RI and has the professional credentials of RDN. The NPI Number for Amanda Maria Laezza is 1124887971. The current practice location address for Amanda Maria Laezza is 383 W Fountain St Ste 115, Providence, RI 02903-3515 and can be reached out via phone at 401-297-3256.

Provider Profile Details

NPI Number
1124887971
Provider Name
Amanda Maria Laezza
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
383 W Fountain St Ste 115, Providence, RI 02903-3515
Phone Number
401-297-3256
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 14, 2024
Last Update Date
June 17, 2024
Certification Date
June 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
383 W Fountain St Ste 115
Providence, RI 02903-3515
Zip
02903-3515
Phone Number
401-297-3256
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
8 Fawn CT
Monroe Twp, NJ 08831-1180
City
Monroe Twp
State
NJ
Zip
08831-1180
Phone Number
908-930-0353

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda M Laezza, RDN?

The NPI number of Amanda M Laezza, RDN is 1124887971. It was assigned on March 14, 2024 and is currently active in the NPPES registry.

What is the specialty of Amanda M Laezza, RDN?

Amanda M Laezza, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Amanda M Laezza, RDN practice?

The practice location is 383 W Fountain St Ste 115, Providence, RI 02903-3515. The office can be reached at 401-297-3256 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124887971 directly on the NPPES registry website.

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