Healthcare Provider Details

I. General information

NPI: 1962593129
Provider Name (Legal Business Name): PATRICIA J SLOSS MS, RD, LDN, CDOE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 ATWOOD AVE STE. 209A
JOHNSTON RI
02919-4929
US

IV. Provider business mailing address

1395 ATWOOD AVE STE. 209A
JOHNSTON RI
02919-4929
US

V. Phone/Fax

Practice location:
  • Phone: 401-223-2366
  • Fax: 401-336-2432
Mailing address:
  • Phone: 401-223-2366
  • Fax: 401-336-2432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN00502
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: