Provider Demographics
NPI:1558427336
Name:VENNETTI, BARBARA ANN (RD,LD, CDE)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:VENNETTI
Suffix:
Gender:F
Credentials:RD,LD, CDE
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:GLIATTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:1112 EVENING STAR DR
Mailing Address - Street 2:PO BOX 25
Mailing Address - City:ROAMING SHORES
Mailing Address - State:OH
Mailing Address - Zip Code:44085-9763
Mailing Address - Country:US
Mailing Address - Phone:440-563-3115
Mailing Address - Fax:
Practice Address - Street 1:1112 EVENING STAR DR
Practice Address - Street 2:
Practice Address - City:ROAMING SHORES
Practice Address - State:OH
Practice Address - Zip Code:44085-9763
Practice Address - Country:US
Practice Address - Phone:440-563-3115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3168133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered