Individual provider · Type 1 NPI

Courtney Lee Gravenese, MS, RD

Registered Dietitian · Montclair, NJ

NPI number 1912064239 Active

Practice location

460 Bloomfield Ave
Montclair, NJ 07042-3582

Mailing address

92 Hillside Ave
Verona, NJ 07044-1023

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X005045-1 (NY)

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 1912064239

Courtney Lee Gravenese, MS, RD's National Provider Identifier is 1912064239, issued on Jan 3, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Montclair, NJ. The record was last updated on Jul 8, 2007.