- Practice location
- 17 Will Butler Lane, Bremen, ME 04551-0455
- Phone
- 631-219-8929
- Fax
- —
- Last updated
- February 14, 2023
Georgette Ravenhall is a Dietitian, Registered based in Bremen, ME. Georgette Ravenhall practices in Bremen, ME and has the professional credentials of RDN, CDN. The NPI Number for Georgette Ravenhall is 1366932857 and holds a License No. DI1773 (ME). The current practice location address for Georgette Ravenhall is 17 Will Butler Lane, Bremen, ME 04551-0455 and can be reached out via phone at 631-219-8929.
Provider Profile Details
- NPI Number
- 1366932857
- Provider Name
- Georgette Ravenhall
- Credential
- RDN, CDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 17 Will Butler Lane, Bremen, ME 04551-0455
- Phone Number
- 631-219-8929
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Other Names
- Mrs. Georgette Ravenhall (Other Name)
- Provider Enumeration Date
- May 10, 2018
- Last Update Date
- February 14, 2023
- Certification Date
- February 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Will Butler Lane
Bremen, ME 04551-0455 - City
- Bremen
- State
- Maine
- Zip
- 04551-0455
- Phone Number
- 631-219-8929
Provider Business Mailing Address Details
- Address
- 625 Belle Terre RD Ste 202
Port Jefferson, NY 11777-2318 - City
- Port Jefferson
- State
- NY
- Zip
- 11777-2318
- Phone Number
- 631-686-2513
License Information
- License Number (1)
- DI1773
- License State (1)
- ME
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- License Number (2)
- 86063967
- License State (2)
- NY
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
- Taxonomy (3)
- 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 Bremen, ME
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- Ms. Frances Muzio Papell, LCSWSocial Worker, Clinical · NPI 1558571000
- Victoria L Miller, NURSERegistered Nurse · NPI 1134631971
- Dr. Joelle H Laclair, NDNaturopath · NPI 1003280611
- Discovering Kids Consultation ServiceEarly Intervention Provider Agency · NPI 1952538324
- Mr. Allen J Tomasello, BCABACounselor · NPI 1427199900
Frequently Asked Questions
What is the NPI number of Georgette Ravenhall, RDN, CDN?
The NPI number of Georgette Ravenhall, RDN, CDN is 1366932857. It was assigned on May 10, 2018 and is currently active in the NPPES registry.
What is the specialty of Georgette Ravenhall, RDN, CDN?
Georgette Ravenhall, RDN, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI1773.
Where does Georgette Ravenhall, RDN, CDN practice?
The practice location is 17 Will Butler Lane, Bremen, ME 04551-0455. The office can be reached at 631-219-8929 (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 1366932857 directly on the NPPES registry website.