Tracy Phelan, RD

NPI #1003204389 in Newport, Rhode Island

Provider Information

NPI Number: 1003204389
Entity Type: Individual
Name: Tracy Phelan, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Jan 8, 2015
Last Updated: Jan 8, 2015

Practice Location

Address: 195 BROADWAY
Address 2: 195 BROADWAY
City: Newport
State: Rhode Island
ZIP Code: 02840-2610
Phone: (617) 756-0082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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