Active NPIIndividual provider

Amanda Ettinger, RD

Dietitian, Registered in Lewiston, Maine

NPI Number1902159254
Practice location
10 High St, Ste. 105, Lewiston, ME 04240-7653
Fax
207-795-2559
Last updated
October 24, 2012

Amanda Ettinger is a Dietitian, Registered based in Lewiston, ME. Amanda Ettinger practices in Lewiston, ME and has the professional credentials of RD. The NPI Number for Amanda Ettinger is 1902159254 and holds a License No. TD1124 (ME). The current practice location address for Amanda Ettinger is 10 High St, Ste. 105, Lewiston, ME 04240-7653 and can be reached out via phone at 207-795-5710 and via fax at 207-795-2559.

Provider Profile Details

NPI Number
1902159254
Provider Name
Amanda Ettinger
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
10 High St, Ste. 105, Lewiston, ME 04240-7653
Phone Number
207-795-5710
Fax Number
207-795-2559
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
October 24, 2012
Last Update Date
October 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 High St
Ste. 105
Lewiston, ME 04240-7653
State
Maine
Zip
04240-7653
Phone Number
207-795-5710
Fax Number
207-795-2559
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
10 High St
Ste. 105
Lewiston, ME 04240-7653
City
Lewiston
State
ME
Zip
04240-7653
Phone Number
207-795-5710
Fax Number
207-795-2559

License Information

License Number
TD1124
License State
ME
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 Amanda Ettinger, RD?

The NPI number of Amanda Ettinger, RD is 1902159254. It was assigned on October 24, 2012 and is currently active in the NPPES registry.

What is the specialty of Amanda Ettinger, RD?

Amanda Ettinger, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number TD1124.

Where does Amanda Ettinger, RD practice?

The practice location is 10 High St, Ste. 105, Lewiston, ME 04240-7653. The office can be reached at 207-795-5710 (phone) or 207-795-2559 (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 1902159254 directly on the NPPES registry website.

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