Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CAROLYN A BUTTERWORTH, MSRDRN
ActivePediatric Nutrition · WALTHAM, MA
Registration Details
- NPI Number
- 1619167806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2007 (18.742371293115 yrs)
- Last Updated
- Jul 25, 2007
- License
-
639 (MA)
Practice Information
- Address
-
40 2ND AVE STE 340WALTHAM, MA, 024511133Browse MA providers · Browse ZIP 02451
- Phone
- 7814668967
- Fax
- 7814668987
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.