Provider Demographics
NPI:1033256607
Name:FERREIRA, JENNIFER MARIE TRETTER (RD)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIE TRETTER
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVENIDA DR. JOSE GRILO EVANGELISTA N 264 3 FRT
Mailing Address - Street 2:
Mailing Address - City:ALCOCHETE
Mailing Address - State:SETUBAL
Mailing Address - Zip Code:2890007
Mailing Address - Country:PT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA DR. JOSE GRILO EVANGELISTA N 264 3 FRT
Practice Address - Street 2:
Practice Address - City:ALCOCHETE
Practice Address - State:SETUBAL
Practice Address - Zip Code:2890007
Practice Address - Country:PT
Practice Address - Phone:702-815-8235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI61390293133V00000X
NCL007279133V00000X
NE1660133V00000X
133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered