Provider Demographics
NPI:1740820315
Name:VIOLETTE, BETH (RD, CDE, CNSC)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:VIOLETTE
Suffix:
Gender:F
Credentials:RD, CDE, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MINISTERIAL BR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5722
Mailing Address - Country:US
Mailing Address - Phone:603-674-0266
Mailing Address - Fax:
Practice Address - Street 1:100 HITCHCOCK WAY # 03104412
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-4125
Practice Address - Country:US
Practice Address - Phone:603-695-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0511133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered