Provider Demographics
NPI:1801198494
Name:WHITNEY, URSULA (RD LDN)
Entity Type:Individual
Prefix:
First Name:URSULA
Middle Name:
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GARDEN ST
Mailing Address - Street 2:SUITE TWO
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1431
Mailing Address - Country:US
Mailing Address - Phone:978-777-3888
Mailing Address - Fax:
Practice Address - Street 1:6 GARDEN ST
Practice Address - Street 2:SUITE TWO
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1431
Practice Address - Country:US
Practice Address - Phone:978-777-3888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA460133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered