Mrs. Patricia A Petrillo, RD, LDN
Dietitian, Registered, Nutrition, Renal in Providence, Rhode Island
1912177734- Practice location
- 1076 N Main St, Providence, RI 02904-5760
- Phone
- 401-861-7711
- Fax
- 401-421-5710
- Last updated
- March 7, 2008
Patricia Ann Petrillo is a Dietitian, Registered, Nutrition, Renal based in Providence, RI. Patricia Ann Petrillo practices in Providence, RI and has the professional credentials of RD, LDN. The NPI Number for Patricia Ann Petrillo is 1912177734 and holds a License No. LDN00425 (RI). The current practice location address for Patricia Ann Petrillo is 1076 N Main St, Providence, RI 02904-5760 and can be reached out via phone at 401-861-7711 and via fax at 401-421-5710.
Provider Profile Details
- NPI Number
- 1912177734
- Provider Name
- Patricia Ann Petrillo
- Credential
- RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1076 N Main St, Providence, RI 02904-5760
- Phone Number
- 401-861-7711
- Fax Number
- 401-421-5710
- Primary Taxonomy
- Dietitian, Registered, Nutrition, Renal · 133VN1005X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 7, 2008
- Last Update Date
- March 7, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1076 N Main St
Providence, RI 02904-5760 - City
- Providence
- State
- Rhode Island
- Zip
- 02904-5760
- Phone Number
- 401-861-7711
- Fax Number
- 401-421-5710
Provider Business Mailing Address Details
- Address
- 111 Bishop Hill RD
Johnston, RI 02919-2821 - City
- Johnston
- State
- RI
- Zip
- 02919-2821
- Phone Number
- 401-764-0124
- Fax Number
- 401-764-0124
License Information
- License Number
- LDN00425
- License State
- RI
- Taxonomy
- Dietitian, Registered, Nutrition, Renal · 133VN1005X · Primary
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 Mrs. Patricia A Petrillo, RD, LDN?
The NPI number of Mrs. Patricia A Petrillo, RD, LDN is 1912177734. It was assigned on March 7, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Patricia A Petrillo, RD, LDN?
Mrs. Patricia A Petrillo, RD, LDN is registered under the primary taxonomy Dietitian, Registered, Nutrition, Renal (code 133VN1005X), licensed in RI under license number LDN00425.
Where does Mrs. Patricia A Petrillo, RD, LDN practice?
The practice location is 1076 N Main St, Providence, RI 02904-5760. The office can be reached at 401-861-7711 (phone) or 401-421-5710 (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 1912177734 directly on the NPPES registry website.