Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARISSA PADUA, RD
Active Sole ProprietorCLARISSA PADUA, RD is a Sports Dietetics healthcare provider located in SPRINGFIELD, New Jersey. NPI 1689284978 is currently active in the NPPES registry. Verify at CMS.
Sports Dietetics · SPRINGFIELD, NJ
Registration Details
- NPI Number
- 1689284978
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2020 (6.0560563470785 yrs)
- Last Updated
- Aug 3, 2020
- License
-
86113915 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
193 MORRIS AVESPRINGFIELD, NJ, 070811211Browse NJ providers · Browse ZIP 07081
- Phone
- 5512589109
- Fax
- 2014379653
- Primary Specialty
-
Sports Dietetics
133VN1501X
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.