Individual provider · Type 1 NPI
Miles Edward Everett, R.D., R.N.
Nutrition Education Nutritionist · Waterbury, CT
NPI number
1316134992
Active
Practice location
80 Phoenix Ave
Waterbury, CT 06702-1418
Mailing address
561 Hickory Hill Rd
Thomaston, CT 06787-1022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | 000825 (CT) |
| Diabetes Educator Registered Nurse | 163WD0400X | 082032 (CT) |
Nutrition Education Nutritionist: Definition to come...
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About NPI 1316134992
Miles Edward Everett, R.D., R.N.'s National Provider Identifier is 1316134992, issued on Sep 27, 2007. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Waterbury, CT. The record was last updated on Nov 13, 2007.