Healthcare Provider Details

I. General information

NPI: 1780524934
Provider Name (Legal Business Name): KRISTEN GIULIANI RD, LDN., CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 ANDOVER ST
GEORGETOWN MA
01833-1311
US

IV. Provider business mailing address

407 ANDOVER ST
GEORGETOWN MA
01833-1311
US

V. Phone/Fax

Practice location:
  • Phone: 781-913-8382
  • Fax: 781-913-8382
Mailing address:
  • Phone: 781-913-8382
  • Fax: 781-913-8382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN2200
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: