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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOREN H. BRADSHAW, MS, CLC

Active Sole Proprietor

Nutritionist · FAIRFIELD, CT

Registration Details

NPI Number
1205308012
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2018 (7.3781719028538 yrs)
Last Updated
Dec 19, 2018
Sole Proprietor
Yes

Practice Information

Address
32 ERMINE ST
FAIRFIELD, CT, 068245109
Browse CT providers · Browse ZIP 06824
Phone
6178275223
Primary Specialty
Nutritionist
133N00000X
Additional Specialty
Lactation Consultant
Additional Specialty
Nutritionist

Other Nutritionist Providers in FAIRFIELD, CT

Name Credential NPI
MR. DANIEL J NEWMAN M.S. 1801137864
ELIZABETH HOFFMAN CNS 1376275644
MRS. LISA SULLIVAN MS, CDN 1619674199
ERICA ZELLNER CNS, LDN 1427838994
MEGHAN LIZOTTE MS 1942175278
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.