NPI 1720171549

Deborah Roussos, RD

Practitioner Nutritionist Madison, WI

Practice location

Address: 1265 John Q Hammons Dr, Madison, WI 53717-1941
Phone: (608) 251-4156
Fax: (608) 257-3842

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 885 (WI)

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Registry record

NPI: 1720171549
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2006
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.