Provider Demographics
NPI:1457117467
Name:PASCOE, EMILY S (RD, LDN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:S
Last Name:PASCOE
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 1:70 MAST RD APT B1
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:NH
Mailing Address - Zip Code:03861-6578
Mailing Address - Country:US
Mailing Address - Phone:908-285-4895
Mailing Address - Fax:
Practice Address - Street 1:70 MAST RD APT B1
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:NH
Practice Address - Zip Code:03861-6578
Practice Address - Country:US
Practice Address - Phone:908-285-4895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1238133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered