Active NPIIndividual providerSole proprietor

Ms. Mary S Rosen, RD, MS, LDN

Dietitian, Registered in Brattleboro, Vermont

NPI Number1700209038
Practice location
449 Guilford St, Brattleboro, VT 05301-6401
Fax
802-257-9566
Last updated
January 22, 2014

Mary Shea Rosen is a Dietitian, Registered based in Brattleboro, VT. Mary Shea Rosen practices in Brattleboro, VT and has the professional credentials of RD, MS, LDN. The NPI Number for Mary Shea Rosen is 1700209038 and holds a License No. R422803 (IL). The current practice location address for Mary Shea Rosen is 449 Guilford St, Brattleboro, VT 05301-6401 and can be reached out via phone at 802-257-9566 and via fax at 802-257-9566.

Provider Profile Details

NPI Number
1700209038
Provider Name
Mary Shea Rosen
Credential
RD, MS, LDN
Provider Entity Type
Individual
Gender
Female
Address
449 Guilford St, Brattleboro, VT 05301-6401
Phone Number
802-257-9566
Fax Number
802-257-9566
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 22, 2014
Last Update Date
January 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
449 Guilford St
Brattleboro, VT 05301-6401
State
Vermont
Zip
05301-6401
Phone Number
802-257-9566
Fax Number
802-257-9566
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
449 Guilford St
Brattleboro, VT 05301-6401
City
Brattleboro
State
VT
Zip
05301-6401
Phone Number
802-257-9566
Fax Number
802-257-9566

License Information

License Number (1)
R422803
License State (1)
IL
Taxonomy (1)
Nutritionist, Nutrition, Education · 133NN1002X
License Number (2)
R422803
License State (2)
IL
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary
License Number (3)
R422803
License State (3)
IL
Taxonomy (3)
Health Educator · 174H00000X

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 Ms. Mary S Rosen, RD, MS, LDN?

The NPI number of Ms. Mary S Rosen, RD, MS, LDN is 1700209038. It was assigned on January 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary S Rosen, RD, MS, LDN?

Ms. Mary S Rosen, RD, MS, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in IL under license number R422803.

Where does Ms. Mary S Rosen, RD, MS, LDN practice?

The practice location is 449 Guilford St, Brattleboro, VT 05301-6401. The office can be reached at 802-257-9566 (phone) or 802-257-9566 (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 1700209038 directly on the NPPES registry website.

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