NPI 1457129595

Maia Rose Smith, MSRDCDN

Practitioner Registered Dietitian Waterford, CT

Practice location

Address: 310 Boston Post Rd Unit 163, Waterford, CT 06385-1969
Phone: (860) 912-8079

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2414 (CT)

Other Dietitian, Registered providers in Connecticut →

Registry record

NPI: 1457129595
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Dec 2023
Record last updated: 18 Dec 2023

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.