Tammy Petrossian, RD, CSP, CNSD is a
Dietitian, Registered - Nutrition, Pediatric based in Exeter, California. Tammy Petrossian is licensed to practice in California (license number 816014) and her current practice location is
1014 San Juan Ave, Exeter, California. She can be reached at her office (for appointments etc.) via phone at
(559) 592-7360.
NPI number for Tammy Petrossian is 1811210511 and her current mailing address is 1631 E Forest Oaks Dr, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811210511.
Healthcare Provider's Profile
Full Name | Tammy Petrossian |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Pediatric |
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Location | 1014 San Juan Ave, Exeter, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811210511
- Provider Enumeration Date: 03/09/2010
- Last Update Date: 03/09/2010
Medical Identifiers
Medical identifiers for Tammy Petrossian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811210511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 816014 (California) | Secondary |
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 816014 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tammy Petrossian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tammy Petrossian, RD, CSP, CNSD 1631 E Forest Oaks Dr, Fresno, CA 93730-4535 Ph: (559) 434-6332 | Tammy Petrossian, RD, CSP, CNSD 1014 San Juan Ave, Exeter, CA 93221-1312 Ph: (559) 592-7360 |
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