Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KRISTEN ERNST PETTERSON, RD
Active Sole ProprietorMS. KRISTEN ERNST PETTERSON, RD is a Renal Nutrition healthcare provider located in MONTCLAIR, New Jersey. NPI 1295983146 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · MONTCLAIR, NJ
Registration Details
- NPI Number
- 1295983146
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2008 (17.968380918291 yrs)
- Last Updated
- Sep 4, 2008
- Licenses
-
631196631196
- Sole Proprietor
- Yes
Practice Information
- Address
-
226 WALNUT STMONTCLAIR, NJ, 070422972Browse NJ providers · Browse ZIP 07042
- Phone
- 9732247644
- Fax
- 9736952003
- Primary Specialty
-
Renal Nutrition
133VN1005X
- Additional Specialty
- Renal Nutrition
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.