Provider Demographics
NPI:1790833986
Name:VATURRO, MELINDA (RD)
Entity Type:Individual
Prefix:MISS
First Name:MELINDA
Middle Name:
Last Name:VATURRO
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 1163
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885
Mailing Address - Country:US
Mailing Address - Phone:603-580-9445
Mailing Address - Fax:844-252-2008
Practice Address - Street 1:3 WOODLAND RD
Practice Address - Street 2:SUITE 100
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180
Practice Address - Country:US
Practice Address - Phone:781-662-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1347133V00000X
MA1342133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA39305OtherHARVARD PILGRIM HEALTH CA
MALD 0010OtherBLUE CROSS BLUE SHIELD
MA793122OtherTUFTS HEALTH PLAN
MA39305OtherHARVARD PILGRIM HEALTH CA