Maryann E Hagberg, RD, CDN
Dietary Manager in Derby, Connecticut
1851573687- Practice location
- 130 Division St, Derby, CT 06418-1326
- Phone
- 203-732-7585
- Fax
- —
- Last updated
- September 17, 2008
Maryann E Hagberg is a Dietary Manager based in Derby, CT. Maryann E Hagberg practices in Derby, CT and has the professional credentials of RD, CDN. The NPI Number for Maryann E Hagberg is 1851573687 and holds a License No. 000814 (CT). The current practice location address for Maryann E Hagberg is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-732-7585.
Provider Profile Details
- NPI Number
- 1851573687
- Provider Name
- Maryann E Hagberg
- Credential
- RD, CDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Division St, Derby, CT 06418-1326
- Phone Number
- 203-732-7585
- Primary Taxonomy
- Dietary Manager · 132700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 4, 2007
- Last Update Date
- September 17, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Division St
Derby, CT 06418-1326 - City
- Derby
- State
- Connecticut
- Zip
- 06418-1326
- Phone Number
- 203-732-7585
Provider Business Mailing Address Details
- Address
- 106 Sabal Dr
Waterbury, CT 06708-2166 - City
- Waterbury
- State
- CT
- Zip
- 06708-2166
- Phone Number
- 203-591-1644
License Information
- License Number (1)
- 000814
- License State (1)
- CT
- Taxonomy (1)
- Dietary Manager · 132700000X · Primary
- License Number (2)
- 000814
- License State (2)
- CT
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
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 Maryann E Hagberg, RD, CDN?
The NPI number of Maryann E Hagberg, RD, CDN is 1851573687. It was assigned on December 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Maryann E Hagberg, RD, CDN?
Maryann E Hagberg, RD, CDN is registered under the primary taxonomy Dietary Manager (code 132700000X), licensed in CT under license number 000814.
Where does Maryann E Hagberg, RD, CDN practice?
The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-732-7585 (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 1851573687 directly on the NPPES registry website.