NPI 1366989824

Moira Burke, RD

Practitioner Registered Dietitian South Portland, ME

Practice location

Address: 100 Brickhill Ave, South Portland, ME 04106-1999
Phone: (207) 773-1728
Mailing address: 190 Riverside St Suite 6b, Portland, ME 04103-1073

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DI1337 (ME)

Other Dietitian, Registered providers in Maine →

Registry record

NPI: 1366989824
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2017
Record last updated: 27 Apr 2017

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.