Amanda V Corliss, RD
Dietitian, Registered in Acushnet, Massachusetts
1750077434- Practice location
- 51 Pembroke Ave, Acushnet, MA 02743-2346
- Phone
- 508-688-4794
- Fax
- 508-974-9849
- Last updated
- April 27, 2023
Amanda Vallee Corliss is a Dietitian, Registered based in Acushnet, MA. Amanda Vallee Corliss practices in Acushnet, MA and has the professional credentials of RD. The NPI Number for Amanda Vallee Corliss is 1750077434 and holds a License No. 4775 (MA). The current practice location address for Amanda Vallee Corliss is 51 Pembroke Ave, Acushnet, MA 02743-2346 and can be reached out via phone at 508-688-4794 and via fax at 508-974-9849.
Provider Profile Details
- NPI Number
- 1750077434
- Provider Name
- Amanda Vallee Corliss
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 51 Pembroke Ave, Acushnet, MA 02743-2346
- Phone Number
- 508-688-4794
- Fax Number
- 508-974-9849
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Other Names
- Amanda Marie Vallee, RD (Former Name)
- Provider Enumeration Date
- April 14, 2023
- Last Update Date
- April 27, 2023
- Certification Date
- April 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 51 Pembroke Ave
Acushnet, MA 02743-2346 - City
- Acushnet
- State
- Massachusetts
- Zip
- 02743-2346
- Phone Number
- 508-688-4794
- Fax Number
- 508-974-9849
Provider Business Mailing Address Details
- Address
- 51 Pembroke Ave
Acushnet, MA 02743-2346 - City
- Acushnet
- State
- MA
- Zip
- 02743-2346
- Phone Number
- 508-688-4794
License Information
- License Number
- 4775
- License State
- MA
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Amanda V Corliss, RD?
The NPI number of Amanda V Corliss, RD is 1750077434. It was assigned on April 14, 2023 and is currently active in the NPPES registry.
What is the specialty of Amanda V Corliss, RD?
Amanda V Corliss, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4775.
Where does Amanda V Corliss, RD practice?
The practice location is 51 Pembroke Ave, Acushnet, MA 02743-2346. The office can be reached at 508-688-4794 (phone) or 508-974-9849 (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 1750077434 directly on the NPPES registry website.