Provider Demographics
NPI:1831497577
Name:CROWNINSHIELD, CINDY ANN (RD, LDN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ANN
Last Name:CROWNINSHIELD
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 1:83 DORSET RD
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1106
Mailing Address - Country:US
Mailing Address - Phone:781-354-0120
Mailing Address - Fax:781-417-6203
Practice Address - Street 1:969 CONCORD ST
Practice Address - Street 2:SUITE 12
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4687
Practice Address - Country:US
Practice Address - Phone:781-354-0120
Practice Address - Fax:781-417-6203
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-04
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00677133V00000X
MALDN000003128133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered