Healthcare Provider Details

I. General information

NPI: 1679728182
Provider Name (Legal Business Name): ANETTE VEHUS MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 11/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 HAVILAND ST
BOSTON MA
02115-2683
US

IV. Provider business mailing address

28 PRINCE ST APT 4R
BOSTON MA
02113-1811
US

V. Phone/Fax

Practice location:
  • Phone: 617-267-0900
  • Fax:
Mailing address:
  • Phone: 201-993-4605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number948286
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: