Mary L Burbank, RD
Dietitian, Registered in Middletown, Connecticut
1922647601- Practice location
- 540 Saybrook RD Ste 100, Middletown, CT 06457-4760
- Phone
- 860-287-1078
- Fax
- —
- Last updated
- December 30, 2019
Mary Louise Burbank is a Dietitian, Registered based in Middletown, CT. Mary Louise Burbank practices in Middletown, CT and has the professional credentials of RD. The NPI Number for Mary Louise Burbank is 1922647601 and holds a License No. 001431 (CT). The current practice location address for Mary Louise Burbank is 540 Saybrook RD Ste 100, Middletown, CT 06457-4760 and can be reached out via phone at 860-287-1078.
Provider Profile Details
- NPI Number
- 1922647601
- Provider Name
- Mary Louise Burbank
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 540 Saybrook RD Ste 100, Middletown, CT 06457-4760
- Phone Number
- 860-287-1078
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Other Names
- Mary Louise Gates, RD (Former Name)
- Provider Enumeration Date
- December 30, 2019
- Last Update Date
- December 30, 2019
- Certification Date
- December 30, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 540 Saybrook RD Ste 100
Middletown, CT 06457-4760 - City
- Middletown
- State
- Connecticut
- Zip
- 06457-4760
- Phone Number
- 860-287-1078
Provider Business Mailing Address Details
- Address
- 179 Russell St
Middletown, CT 06457-4323 - City
- Middletown
- State
- CT
- Zip
- 06457-4323
License Information
- License Number
- 001431
- License State
- CT
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Middletown, CT
View all Dietitian, Registered providers in Middletown →- Caitlin SmithDietitian, Registered · NPI 1750154357
- Luz HagoDietitian, Registered · NPI 1770814105
- Mary Braisted, RDN CDNDietitian, Registered · NPI 1831846203
- Mary S Izzo, RDDietitian, Registered · NPI 1760790968
- Mireille Blacke, MA, RD, CD-NDietitian, Registered · NPI 1861768889
- Ms. Elizabeth J Archambault, REGISTERED DIETITIANDietitian, Registered · NPI 1437375920
Frequently Asked Questions
What is the NPI number of Mary L Burbank, RD?
The NPI number of Mary L Burbank, RD is 1922647601. It was assigned on December 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Mary L Burbank, RD?
Mary L Burbank, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 001431.
Where does Mary L Burbank, RD practice?
The practice location is 540 Saybrook RD Ste 100, Middletown, CT 06457-4760. The office can be reached at 860-287-1078 (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 1922647601 directly on the NPPES registry website.