Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PATRICIA ANN PETRILLO, RD,LDN
Active Sole ProprietorMRS. PATRICIA ANN PETRILLO, RD,LDN is a Renal Nutrition healthcare provider located in PROVIDENCE, Rhode Island. NPI 1912177734 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · PROVIDENCE, RI
Registration Details
- NPI Number
- 1912177734
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2008 (18.252389573735 yrs)
- Last Updated
- Mar 7, 2008
- License
-
LDN00425 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1076 N MAIN STPROVIDENCE, RI, 029045760Browse RI providers · Browse ZIP 02904
- Phone
- 4018617711
- Fax
- 4014215710
- Primary Specialty
-
Renal Nutrition
133VN1005X
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.