NPI 1033246574

Amy Modracek, RD

Practitioner Registered Dietitian Providence, RI

Practice location

Address: 134 Thurbers Ave Family Service of Rhode Island, Providence, RI 02905-4754
Phone: (401) 331-1350
Fax: (401) 277-3366
Mailing address: 1440 Phillips Rd, New Bedford, MA 02745-1958

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LDN00543 (RI)

Other Dietitian, Registered providers in Rhode Island →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence RD657 (MA)

Registry record

NPI: 1033246574
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.