Provider Demographics
NPI:1891420451
Name:ASSOCIATES IN NUTRITION
Entity Type:Organization
Organization Name:ASSOCIATES IN NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:DUSHKEWICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-228-6010
Mailing Address - Street 1:1145 RESERVOIR AVE STE 126
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6000
Mailing Address - Country:US
Mailing Address - Phone:401-228-6010
Mailing Address - Fax:401-228-8167
Practice Address - Street 1:1145 RESERVOIR AVE STE 126
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6000
Practice Address - Country:US
Practice Address - Phone:401-228-6010
Practice Address - Fax:401-228-8167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty