Provider Demographics
NPI:1427364660
Name:PINCINCE, MELISSA S (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:S
Last Name:PINCINCE
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:S
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LDN
Mailing Address - Street 1:8 GREAT MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-3823
Mailing Address - Country:US
Mailing Address - Phone:401-487-4556
Mailing Address - Fax:
Practice Address - Street 1:8 GREAT MEADOWS LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-3823
Practice Address - Country:US
Practice Address - Phone:401-487-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00666133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered