Mrs. Susan M Agnes, RD
Dietitian, Registered in East Granby, Connecticut
1518225051- Practice location
- 29 Kripes RD, East Granby, CT 06026-9669
- Phone
- 860-413-3883
- Fax
- 860-413-3884
- Last updated
- May 2, 2012
Susan Moffatt Agnes is a Dietitian, Registered based in East Granby, CT. Susan Moffatt Agnes practices in East Granby, CT and has the professional credentials of RD. The NPI Number for Susan Moffatt Agnes is 1518225051 and holds a License No. 709473 (CT). The current practice location address for Susan Moffatt Agnes is 29 Kripes RD, East Granby, CT 06026-9669 and can be reached out via phone at 860-413-3883 and via fax at 860-413-3884.
Provider Profile Details
- NPI Number
- 1518225051
- Provider Name
- Susan Moffatt Agnes
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 29 Kripes RD, East Granby, CT 06026-9669
- Phone Number
- 860-413-3883
- Fax Number
- 860-413-3884
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2012
- Last Update Date
- May 2, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Kripes RD
East Granby, CT 06026-9669 - City
- East Granby
- State
- Connecticut
- Zip
- 06026-9669
- Phone Number
- 860-413-3883
- Fax Number
- 860-413-3884
Provider Business Mailing Address Details
- Address
- Po Box 152
Simsbury, CT 06070-0152 - City
- Simsbury
- State
- CT
- Zip
- 06070-0152
- Phone Number
- 860-413-3883
- Fax Number
- 860-413-3884
License Information
- License Number
- 709473
- 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 East Granby, CT
View all Dietitian, Registered providers in East Granby →- Anchor Eye Center LLCOptometrist · NPI 1710620364
- Alston Clinical Private Practice PLLCSocial Worker, Clinical · NPI 1346829116
- Kerri H Anderson, APRNNurse Practitioner, Family · NPI 1992267660
- Vickie B Alston, LCSWSocial Worker, Clinical · NPI 1053618579
- Bridget Alfone, BCBABehavior Analyst · NPI 1023476405
- Kathleen J Armata, LMFTCounselor, Mental Health · NPI 1891855573
Frequently Asked Questions
What is the NPI number of Mrs. Susan M Agnes, RD?
The NPI number of Mrs. Susan M Agnes, RD is 1518225051. It was assigned on May 2, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Susan M Agnes, RD?
Mrs. Susan M Agnes, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 709473.
Where does Mrs. Susan M Agnes, RD practice?
The practice location is 29 Kripes RD, East Granby, CT 06026-9669. The office can be reached at 860-413-3883 (phone) or 860-413-3884 (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 1518225051 directly on the NPPES registry website.