Provider Demographics
NPI:1598188088
Name:TROTTA, DANA (RD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:TROTTA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-3525
Mailing Address - Country:US
Mailing Address - Phone:401-435-5200
Mailing Address - Fax:401-435-5995
Practice Address - Street 1:318 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-3525
Practice Address - Country:US
Practice Address - Phone:401-435-5200
Practice Address - Fax:401-435-5995
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3433133V00000X
RI00733133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered