Healthcare Provider Details

I. General information

NPI: 1336384676
Provider Name (Legal Business Name): CHELSEA NICOLE VOZZOLO MS, RDN, CHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA NICOLE FOWLER

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SANDY DR
TOLLAND CT
06084-3121
US

IV. Provider business mailing address

5 SANDY DR
TOLLAND CT
06084-3121
US

V. Phone/Fax

Practice location:
  • Phone: 860-803-0706
  • Fax:
Mailing address:
  • Phone: 860-803-0706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number957919
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: