Provider Demographics
NPI:1780380352
Name:NEWMEYER-BLUNDEN, NATALIE MARIA (RD, LDN)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:MARIA
Last Name:NEWMEYER-BLUNDEN
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:MARIA
Other - Last Name:NEWMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:204 PHILLIPS ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-6147
Mailing Address - Country:US
Mailing Address - Phone:774-901-5547
Mailing Address - Fax:
Practice Address - Street 1:70 WALNUT ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-5312
Practice Address - Country:US
Practice Address - Phone:508-543-6371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4610-NU-NU133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered