Active NPIIndividual provider

Mary Braisted, RDN CDN

Dietitian, Registered in Middletown, Connecticut

NPI Number1831846203
Practice location
675 Main St, Middletown, CT 06457-2732
Fax
—
Last updated
March 7, 2022

Mary Braisted is a Dietitian, Registered based in Middletown, CT. Mary Braisted practices in Middletown, CT and has the professional credentials of RDN CDN. The NPI Number for Mary Braisted is 1831846203. The current practice location address for Mary Braisted is 675 Main St, Middletown, CT 06457-2732 and can be reached out via phone at 860-347-6971.

Provider Profile Details

NPI Number
1831846203
Provider Name
Mary Braisted
Credential
RDN CDN
Provider Entity Type
Individual
Gender
Female
Address
675 Main St, Middletown, CT 06457-2732
Phone Number
860-347-6971
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 7, 2022
Last Update Date
March 7, 2022
Certification Date
March 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
675 Main St
Middletown, CT 06457-2732
Zip
06457-2732
Phone Number
860-347-6971
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
180 Randolph RD
Middletown, CT 06457-5605
City
Middletown
State
CT
Zip
06457-5605

License Information

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 Mary Braisted, RDN CDN?

The NPI number of Mary Braisted, RDN CDN is 1831846203. It was assigned on March 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Mary Braisted, RDN CDN?

Mary Braisted, RDN CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Mary Braisted, RDN CDN practice?

The practice location is 675 Main St, Middletown, CT 06457-2732. The office can be reached at 860-347-6971 (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 1831846203 directly on the NPPES registry website.

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