Provider Demographics
NPI:1811694490
Name:TEFFT, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:TEFFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:SHIPPEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:59 WENHAM RD
Mailing Address - Street 2:
Mailing Address - City:TOPSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01983-2521
Mailing Address - Country:US
Mailing Address - Phone:802-522-6168
Mailing Address - Fax:
Practice Address - Street 1:59 WENHAM RD
Practice Address - Street 2:
Practice Address - City:TOPSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01983-2521
Practice Address - Country:US
Practice Address - Phone:802-522-6168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0857133V00000X
MA3357133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered