Individual provider · Type 1 NPI

Mireille Blacke, MA, RD, CD-N

Registered Dietitian · Middletown, CT

NPI number 1861768889 Active

Practice location

6122 Town Rdg
Middletown, CT 06457-6551

Fax (860) 852-3465

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist 133NN1002X001082 (CT)
Registered Dietitian Primary 133V00000X1073878 (CT)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1861768889

Mireille Blacke, MA, RD, CD-N's National Provider Identifier is 1861768889, issued on Mar 23, 2012. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Middletown, CT. The record was last updated on Mar 23, 2012.