NPI 1033419858

Randi Konikoff Beranbaum, MSRD

Practitioner Registered Dietitian Providence, RI

Practice location

Address: 5 Wingate Rd, Providence, RI 02906-4909
Phone: (617) 470-0800

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LDN00665 (RI)

Other Dietitian, Registered providers in Rhode Island →

Registry record

NPI: 1033419858
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2010
Record last updated: 26 Oct 2010

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.