NPI Profile for MILES E EVERETT in WATERBURY, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X | |||
Diabetes Educator |
163WD0400X |
| NPI # | 1316134992 |
|
| Status | Active | |
| Credentials | R.D., R.N. | |
| Entity | Individual | |
| Enumeration date | 09/27/2007 | |
| Last updated | 11/13/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MILES E EVERETT
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