# RENA MARIE RICCARDI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962988543
- **Gender:** F
- **Credential:** MS, RD, CDE

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | 724462 | NULL | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | 724462 | NULL | Yes |
| 174H00000X | Health Educator | — | NULL | — |
| 2080B0002X | Pediatric Obesity Medicine Physician | 724462 | NY | — |
| 2080P0205X | Pediatric Endocrinology Physician | 217003387 | NY | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2018
- **Last updated:** 07/17/2018