Active NPIIndividual provider

Annaliessa C Visco

Dietitian, Registered in Gardner, Massachusetts

NPI Number1508368937
Practice location
250 Green St, Gardner, MA 01440-1396
Fax
—
Last updated
March 17, 2018

Annaliessa Christina Visco is a Dietitian, Registered based in Gardner, MA. Annaliessa Christina Visco practices in Gardner, MA. The NPI Number for Annaliessa Christina Visco is 1508368937 and holds a License No. 3538 (MA). The current practice location address for Annaliessa Christina Visco is 250 Green St, Gardner, MA 01440-1396 and can be reached out via phone at 978-630-6822.

Provider Profile Details

NPI Number
1508368937
Provider Name
Annaliessa Christina Visco
Provider Entity Type
Individual
Gender
Female
Address
250 Green St, Gardner, MA 01440-1396
Phone Number
978-630-6822
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 1, 2018
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Green St
Gardner, MA 01440-1396
Zip
01440-1396
Phone Number
978-630-6822
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
242 Green St
Gardner, MA 01440-1336
City
Gardner
State
MA
Zip
01440-1336

License Information

License Number
3538
License State
MA
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 Annaliessa C Visco?

The NPI number of Annaliessa C Visco is 1508368937. It was assigned on March 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Annaliessa C Visco?

Annaliessa C Visco is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3538.

Where does Annaliessa C Visco practice?

The practice location is 250 Green St, Gardner, MA 01440-1396. The office can be reached at 978-630-6822 (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 1508368937 directly on the NPPES registry website.

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