Active NPIIndividual provider

Mrs. Marcia M Bristow, MS RD CD

Dietitian, Registered, Nutrition, Metabolic in Burlington, Vermont

NPI Number1235411174
Practice location
128 Lakeside Ave, Burlington, VT 05401-4939
Fax
802-985-9947
Last updated
September 16, 2011

Marcia M Bristow is a Dietitian, Registered, Nutrition, Metabolic based in Burlington, VT. Marcia M Bristow practices in Burlington, VT and has the professional credentials of MS RD CD. The NPI Number for Marcia M Bristow is 1235411174 and holds a License No. 0740076077 (VT). The current practice location address for Marcia M Bristow is 128 Lakeside Ave, Burlington, VT 05401-4939 and can be reached out via phone at 802-777-9691 and via fax at 802-985-9947.

Provider Profile Details

NPI Number
1235411174
Provider Name
Marcia M Bristow
Credential
MS RD CD
Provider Entity Type
Individual
Gender
Female
Address
128 Lakeside Ave, Burlington, VT 05401-4939
Phone Number
802-777-9691
Fax Number
802-985-9947
Primary Taxonomy
Dietitian, Registered, Nutrition, Metabolic · 133VN1006X
Sole Proprietor
No
Provider Enumeration Date
September 16, 2011
Last Update Date
September 16, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
128 Lakeside Ave
Burlington, VT 05401-4939
State
Vermont
Zip
05401-4939
Phone Number
802-777-9691
Fax Number
802-985-9947
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
3528 Harbor RD
Shelburne, VT 05482-7795
City
Shelburne
State
VT
Zip
05482-7795
Phone Number
802-777-9691
Fax Number
802-985-9947

License Information

License Number
0740076077
License State
VT
Taxonomy
Dietitian, Registered, Nutrition, Metabolic · 133VN1006X · 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 Mrs. Marcia M Bristow, MS RD CD?

The NPI number of Mrs. Marcia M Bristow, MS RD CD is 1235411174. It was assigned on September 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Marcia M Bristow, MS RD CD?

Mrs. Marcia M Bristow, MS RD CD is registered under the primary taxonomy Dietitian, Registered, Nutrition, Metabolic (code 133VN1006X), licensed in VT under license number 0740076077.

Where does Mrs. Marcia M Bristow, MS RD CD practice?

The practice location is 128 Lakeside Ave, Burlington, VT 05401-4939. The office can be reached at 802-777-9691 (phone) or 802-985-9947 (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 1235411174 directly on the NPPES registry website.

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