Basic Information
| Provider Information | |||||||||
| NPI: | 1982217535 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STRAUGHN | ||||||||
| FirstName: | ERIN | ||||||||
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| Credential: | RDN, LDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12 BURROUGHS RD | ||||||||
| Address2: | |||||||||
| City: | NORTH READING | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018641220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786092013 | ||||||||
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| Practice Location | |||||||||
| Address1: | 30 WARREN ST | ||||||||
| Address2: | |||||||||
| City: | BRIGHTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021353602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6172543800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2020 | ||||||||
| LastUpdateDate: | 08/24/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 5124-NU-NU | MA | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.