Provider Demographics
NPI:1548759848
Name:PIAZZA, EMILY (MS, RDN, CD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:PIAZZA
Suffix:
Gender:F
Credentials:MS, RDN, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 VT ROUTE 15
Mailing Address - Street 2:
Mailing Address - City:UNDERHILL
Mailing Address - State:VT
Mailing Address - Zip Code:05489-9341
Mailing Address - Country:US
Mailing Address - Phone:802-557-4130
Mailing Address - Fax:
Practice Address - Street 1:1081 VT ROUTE 15
Practice Address - Street 2:
Practice Address - City:UNDERHILL
Practice Address - State:VT
Practice Address - Zip Code:05489-9341
Practice Address - Country:US
Practice Address - Phone:802-557-4130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT074.0071524133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered