Individual
SUSAN ANNE TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
119 BELMONT STREET, 5TH FLOOR NICU, WORCESTER, MA 01605
(508) 334-6913
Mailing address
119 BELMONT STREET, 5TH FLOOR NICU, WORCESTER, MA 01605
(508) 334-6913
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2889
MA
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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