Individual provider · Type 1 NPI

Mary Ellen Vivrett, R.D., L.D.

Nutrition Education Nutritionist · Beaumont, TX

NPI number 1356773683 Active

Practice location

3725 Long Ave
Beaumont, TX 77706-4728

Fax (409) 898-0448

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist 133NN1002XDT02946 (TX)
Nutrition Education Nutritionist Primary 133NN1002X16160 (TX)

Nutrition Education Nutritionist: Definition to come...

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About NPI 1356773683

Mary Ellen Vivrett, R.D., L.D.'s National Provider Identifier is 1356773683, issued on Aug 9, 2013. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Beaumont, TX. The record was last updated on Jul 1, 2015.