Individual
ASHLEY NICOLE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 DUDLEY AVE, NEWPORT, RI 02840
(401) 477-0158
(401) 324-5224
Mailing address
55 DUDLEY AVENUE, NEWPORT, RI 02840
(401) 477-0158
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
5591-NU-NU
MA
133V00000X
Registered Dietitian
Primary
LDN00918
RI
133V00000X
Registered Dietitian
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Other
Enumeration date
05/15/2018
Last updated
03/24/2023
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