Active NPIIndividual provider

Bonnie Defiore, RD

Dietitian, Registered in Lewiston, Maine

NPI Number1801491345
Practice location
15 Challenger Dr, Lewiston, ME 04240-1041
Fax
—
Last updated
September 19, 2024

Bonnie Defiore is a Dietitian, Registered based in Lewiston, ME. Bonnie Defiore practices in Lewiston, ME and has the professional credentials of RD. The NPI Number for Bonnie Defiore is 1801491345 and holds a License No. 59.001891 (CT). The current practice location address for Bonnie Defiore is 15 Challenger Dr, Lewiston, ME 04240-1041 and can be reached out via phone at 207-623-8411.

Provider Profile Details

NPI Number
1801491345
Provider Name
Bonnie Defiore
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
15 Challenger Dr, Lewiston, ME 04240-1041
Phone Number
207-623-8411
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
December 2, 2020
Last Update Date
September 19, 2024
Certification Date
September 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Challenger Dr
Lewiston, ME 04240-1041
State
Maine
Zip
04240-1041
Phone Number
207-623-8411
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
5 Lombard St
Gorham, ME 04038-1400
City
Gorham
State
ME
Zip
04038-1400

License Information

License Number (1)
59.001891
License State (1)
CT
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
DI1638
License State (2)
ME
Taxonomy (2)
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 Bonnie Defiore, RD?

The NPI number of Bonnie Defiore, RD is 1801491345. It was assigned on December 2, 2020 and is currently active in the NPPES registry.

What is the specialty of Bonnie Defiore, RD?

Bonnie Defiore, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 59.001891.

Where does Bonnie Defiore, RD practice?

The practice location is 15 Challenger Dr, Lewiston, ME 04240-1041. The office can be reached at 207-623-8411 (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 1801491345 directly on the NPPES registry website.

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