Provider Demographics
NPI:1205183233
Name:APICELLI, ALANE M (RDN, CDN)
Entity Type:Individual
Prefix:
First Name:ALANE
Middle Name:M
Last Name:APICELLI
Suffix:
Gender:F
Credentials:RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CAROLINE RD
Mailing Address - Street 2:
Mailing Address - City:BOZRAH
Mailing Address - State:CT
Mailing Address - Zip Code:06334-1409
Mailing Address - Country:US
Mailing Address - Phone:860-367-4136
Mailing Address - Fax:
Practice Address - Street 1:101 CAROLINE RD
Practice Address - Street 2:
Practice Address - City:BOZRAH
Practice Address - State:CT
Practice Address - Zip Code:06334-1409
Practice Address - Country:US
Practice Address - Phone:860-949-8183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001864133N00000X
890481133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist