Mrs Tara Isadora Fredette, MS, RD, LD | |
1 Medical Center Dr, Dhmc Department Of Nutrition, Lebanon, NH 03756-1000 | |
(603) 650-6289 | |
Not Available |
Full Name | Mrs Tara Isadora Fredette |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1 Medical Center Dr, Lebanon, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1154679686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 0633 (New Hampshire) | Primary |
Provider Name | Mary Hitchcock Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
Mailing Address | Practice Location Address |
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Mrs Tara Isadora Fredette, MS, RD, LD 1 Medical Center Dr, Dhmc Department Of Nutrition, Lebanon, NH 03756-1000 Ph: (603) 650-6289 | Mrs Tara Isadora Fredette, MS, RD, LD 1 Medical Center Dr, Dhmc Department Of Nutrition, Lebanon, NH 03756-1000 Ph: (603) 650-6289 |
Mrs. Antoinette Maraglino, MS, RD, CSP, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5904 | |
Ms. Katherine Bradford, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-7284 | |
Mrs. Donna T. Hartford, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-653-9329 | |
Hannah King Brilling, LD, RD Dietitian Medicare: Medicare Enrolled Practice Location: 18 Old Etna Road, Dartmouth Hitchcock - Gim, Lebanon, NH 03766 Phone: 603-653-2226 | |
Alexandra Debow, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Dr, Lebanon, NH 03756 Phone: 603-650-5907 | |
Douglas J Knuth, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5901 |