Amy Modracek, RD
Amy Modracek, RD is a Registered Dietitian in Providence, Rhode Island. Licensed in Massachusetts and Rhode Island. Registered with an NPI since 2007.
- Licensed in
- MA, RI
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- RD — Registered Dietitian
- A credentialed nutrition professional.
Practice location Address checks out
134 Thurbers Ave Family Service Of Rhode IsProvidence, RI 02905-4754
Phone: (401) 331-1350
Fax: (401) 277-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence LDN00543 (RI) |
|---|---|
| Registered Dietitian | Taxonomy 133V00000X · Licence RD657 (MA) |
Record details
| NPI number | 1033246574 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD |
| Sole proprietor | No |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1440 Phillips Rd, New Bedford, MA 02745-1958 |
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