DANIELLE NICOLE SHEA TAN


Address: 29 Kenney Rd, Medfield, MA 02052-1805
Phone: 6179217977

DANIELLE NICOLE SHEA TAN (NPI# 1982112470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982112470
Entity Type Individual
Full Name DANIELLE NICOLE SHEA TAN
Credential MS NUTRITION
Practice Address 29 Kenney Rd
Medfield
MA 02052-1805
Practice Telephone 6179217977
Enumeration Date 2018-01-18
Last Update Date 2018-01-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
MA Dietary & Nutritional Service Providers

Office Location

Street Address 29 KENNEY RD
City MEDFIELD
State MA
Zip Code 02052-1805

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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

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Competitor

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City MEDFIELD
Zip Code 02052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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