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

MRS. SUSAN MOFFATT AGNES, RD

Active Sole Proprietor

MRS. SUSAN MOFFATT AGNES, RD is a Registered Dietitian healthcare provider located in EAST GRANBY, Connecticut. NPI 1518225051 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · EAST GRANBY, CT

Registration Details

NPI Number
1518225051
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2012 (14.256333170859 yrs)
Last Updated
May 2, 2012
License
709473 (CT)
Sole Proprietor
Yes

Practice Information

Address
29 KRIPES RD
EAST GRANBY, CT, 060269669
Browse CT providers · Browse ZIP 06026
Phone
8604133883
Fax
8604133884
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in EAST GRANBY, CT

Name Credential NPI
NANCY BROWN MSRD 1104247303
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.