Provider Demographics
NPI:1689904971
Name:DELANO-MERRITT, ROSEMARY (RD)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:DELANO-MERRITT
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:PO BOX 668
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429-0668
Mailing Address - Country:US
Mailing Address - Phone:207-843-4376
Mailing Address - Fax:207-843-4376
Practice Address - Street 1:986 MAIN ROAD
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:ME
Practice Address - Zip Code:04429-0668
Practice Address - Country:US
Practice Address - Phone:207-843-4376
Practice Address - Fax:207-843-4376
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDI77133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered