Colleen E Wall, RD
Dietitian, Registered in Brookfield, Connecticut
1144648510- Practice location
- 366 Federal RD, Brookfield, CT 06804-2406
- Phone
- 203-775-1819
- Fax
- 203-775-2028
- Last updated
- April 2, 2014
Colleen Elizabeth Wall is a Dietitian, Registered based in Brookfield, CT. Colleen Elizabeth Wall practices in Brookfield, CT and has the professional credentials of RD. The NPI Number for Colleen Elizabeth Wall is 1144648510 and holds a License No. 1188 (CT). The current practice location address for Colleen Elizabeth Wall is 366 Federal RD, Brookfield, CT 06804-2406 and can be reached out via phone at 203-775-1819 and via fax at 203-775-2028.
Provider Profile Details
- NPI Number
- 1144648510
- Provider Name
- Colleen Elizabeth Wall
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 366 Federal RD, Brookfield, CT 06804-2406
- Phone Number
- 203-775-1819
- Fax Number
- 203-775-2028
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Other Names
- -- Colleen Elizabeth Shemeley (Former Name)
- Provider Enumeration Date
- April 2, 2014
- Last Update Date
- April 2, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 366 Federal RD
Brookfield, CT 06804-2406 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-2406
- Phone Number
- 203-775-1819
- Fax Number
- 203-775-2028
Provider Business Mailing Address Details
- Address
- 366 Federal RD
Brookfield, CT 06804-2406 - City
- Brookfield
- State
- CT
- Zip
- 06804-2406
- Phone Number
- 203-775-1819
- Fax Number
- 203-775-2028
License Information
- License Number
- 1188
- License State
- CT
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Brookfield, CT
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Frequently Asked Questions
What is the NPI number of Colleen E Wall, RD?
The NPI number of Colleen E Wall, RD is 1144648510. It was assigned on April 2, 2014 and is currently active in the NPPES registry.
What is the specialty of Colleen E Wall, RD?
Colleen E Wall, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 1188.
Where does Colleen E Wall, RD practice?
The practice location is 366 Federal RD, Brookfield, CT 06804-2406. The office can be reached at 203-775-1819 (phone) or 203-775-2028 (fax).
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 1144648510 directly on the NPPES registry website.