Individual
MS. TANYA KAY SOLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDOE
Contact information
Practice address
727 EAST AVE, PAWTUCKET, RI 02860-6185
(401) 725-6160
(401) 722-5430
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00452
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC NUMBER
RI
01
—
292177
EI BLUE CROSS NUMBER
RI
01
—
412296
EI BCHIP NUMBER
RI
01
—
6400144
PT/OT UHP NUMBER
RI
05
—
ES01788
—
RI
Enumeration date
08/08/2006
Last updated
04/04/2024
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