Provider Demographics
NPI:1942077300
Name:CURTIN, NISSA ALEXANDREA (RDN)
Entity Type:Individual
Prefix:
First Name:NISSA
Middle Name:ALEXANDREA
Last Name:CURTIN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 LEBANON MTN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-8803
Mailing Address - Country:US
Mailing Address - Phone:413-464-4969
Mailing Address - Fax:
Practice Address - Street 1:125 WOLF RD STE 212
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1221
Practice Address - Country:US
Practice Address - Phone:518-417-4260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered