Michelle R Irvin, RD CDE | |
7 Higate Ln, Simsbury, CT 06070-1005 | |
(402) 612-4097 | |
Not Available |
Full Name | Michelle R Irvin |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 7 Higate Ln, Simsbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366626897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 001790 (Iowa) | Primary |
Provider Name | Nutrition In Motion |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548437312 PECOS PAC ID: 7416091996 Enrollment ID: O20220228001725 |
Mailing Address | Practice Location Address |
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Michelle R Irvin, RD CDE 7 Higate Ln, Simsbury, CT 06070-1005 Ph: (402) 612-4097 | Michelle R Irvin, RD CDE 7 Higate Ln, Simsbury, CT 06070-1005 Ph: (402) 612-4097 |
Motivated Concepts, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 720 Hopmeadow St Ste 4, Simsbury, CT 06070 Phone: 860-324-8963 | |
Mrs. Lisa Hope Cooperman, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8 Wilcox St, Simsbury, CT 06070 Phone: 860-830-7855 | |
Nourished Life, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Woods Ln, Simsbury, CT 06070 Phone: 860-810-9439 |