Provider Demographics
NPI:1437858222
Name:BOYER, CHELSEA J (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:J
Last Name:BOYER
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 S POPLAR ST UNIT 316
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-3610
Mailing Address - Country:US
Mailing Address - Phone:570-259-8843
Mailing Address - Fax:
Practice Address - Street 1:15 S POPLAR ST UNIT 316
Practice Address - Street 2:
Practice Address - City:GLASSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08028-3610
Practice Address - Country:US
Practice Address - Phone:570-259-8843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN006769133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered