Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILENE B SIEGEL, RD
ActiveNutrition, Education · BERLIN, VT
Registration Details
- NPI Number
- 1306967054
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2007 (19.093222510243 yrs)
- Last Updated
- Oct 24, 2013
- License
-
074-0000033 (VT)
Practice Information
- Address
-
130 FISHER RDBERLIN, VT, 056029516Browse VT providers · Browse ZIP 05602
- Phone
- 8023714152
- Fax
- 8023714572
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.