Provider Demographics
NPI:1073071528
Name:HASKELL, RYANNE MARIE (RDN)
Entity Type:Individual
Prefix:
First Name:RYANNE
Middle Name:MARIE
Last Name:HASKELL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:RYANNE
Other - Middle Name:HASKELL
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-1199
Mailing Address - Country:US
Mailing Address - Phone:603-536-1120
Mailing Address - Fax:603-238-2195
Practice Address - Street 1:16 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1199
Practice Address - Country:US
Practice Address - Phone:603-536-1120
Practice Address - Fax:603-238-2195
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1006133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered