Provider Demographics
NPI:1164656450
Name:NALEN-CARDOSA, BARBARA J (RD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:NALEN-CARDOSA
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 1:1160 EAST ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-3412
Mailing Address - Country:US
Mailing Address - Phone:508-339-3791
Mailing Address - Fax:
Practice Address - Street 1:1160 EAST ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-3412
Practice Address - Country:US
Practice Address - Phone:508-339-3791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1695133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered