Active NPIIndividual providerSole proprietor

Renee J Bordeau, RD, CDN, CPT

Dietitian, Registered in Newington, Connecticut

NPI Number1831195189
Practice location
66 Cedar St, Ste 305, Newington, CT 06111-2655
Fax
860-523-0141
Last updated
May 9, 2016

Renee J Bordeau is a Dietitian, Registered based in Newington, CT. Renee J Bordeau practices in Newington, CT and has the professional credentials of RD, CDN, CPT. The NPI Number for Renee J Bordeau is 1831195189 and holds a License No. 000472 (CT). The current practice location address for Renee J Bordeau is 66 Cedar St, Ste 305, Newington, CT 06111-2655 and can be reached out via phone at 860-978-9449 and via fax at 860-523-0141.

Provider Profile Details

NPI Number
1831195189
Provider Name
Renee J Bordeau
Credential
RD, CDN, CPT
Provider Entity Type
Individual
Gender
Female
Address
66 Cedar St, Ste 305, Newington, CT 06111-2655
Phone Number
860-978-9449
Fax Number
860-523-0141
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2005
Last Update Date
May 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Cedar St
Ste 305
Newington, CT 06111-2655
Zip
06111-2655
Phone Number
860-978-9449
Fax Number
860-523-0141
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
66 Cedar St
Ste 305
Newington, CT 06111-2655
City
Newington
State
CT
Zip
06111-2655
Phone Number
860-978-9449
Fax Number
860-523-0141

License Information

License Number
000472
License State
CT
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 Renee J Bordeau, RD, CDN, CPT?

The NPI number of Renee J Bordeau, RD, CDN, CPT is 1831195189. It was assigned on June 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Renee J Bordeau, RD, CDN, CPT?

Renee J Bordeau, RD, CDN, CPT is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000472.

Where does Renee J Bordeau, RD, CDN, CPT practice?

The practice location is 66 Cedar St, Ste 305, Newington, CT 06111-2655. The office can be reached at 860-978-9449 (phone) or 860-523-0141 (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 1831195189 directly on the NPPES registry website.

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