Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VANESSA LORETTA CONNOLLY, RDN, CSR, LD
Active Sole ProprietorVANESSA LORETTA CONNOLLY, RDN, CSR, LD is a Renal Nutrition healthcare provider located in GOOSE CREEK, South Carolina. NPI 1770236689 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · GOOSE CREEK, SC
Registration Details
- NPI Number
- 1770236689
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2022 (4.5550104517204 yrs)
- Last Updated
- Jan 31, 2022
- Licenses
-
942920 (SC)942920 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
159 FOX CHASE DRGOOSE CREEK, SC, 294455413Browse SC providers · Browse ZIP 29445
- Phone
- 3017588254
- Primary Specialty
-
Renal Nutrition
133VN1005X
- Additional Specialty
- Registered Dietitian
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.