Provider Demographics
NPI:1063675296
Name:EVANS-RAMSAY, MARIANNE K (LD, RD, CDE)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:K
Last Name:EVANS-RAMSAY
Suffix:
Gender:F
Credentials:LD, RD, CDE
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 MEMBERS WAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-5933
Mailing Address - Country:US
Mailing Address - Phone:603-740-2443
Mailing Address - Fax:603-740-2886
Practice Address - Street 1:10 MEMBERS WAY
Practice Address - Street 2:SUITE 203
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-5933
Practice Address - Country:US
Practice Address - Phone:603-740-2443
Practice Address - Fax:603-740-2886
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH284133V00000X
MEDI1017133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHMT060403Medicare PIN