Provider Demographics
NPI:1235362310
Name:TACCONE GRIFFITH, FRANCES (PHD, RD)
Entity Type:Individual
Prefix:PROF
First Name:FRANCES
Middle Name:
Last Name:TACCONE GRIFFITH
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 GREYBULL DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2173
Mailing Address - Country:US
Mailing Address - Phone:302-836-1798
Mailing Address - Fax:302-836-1798
Practice Address - Street 1:353 GREYBULL DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2173
Practice Address - Country:US
Practice Address - Phone:302-836-1798
Practice Address - Fax:302-836-1798
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN-0000265133V00000X
ILRD603081133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered