Provider Demographics
NPI:1053095588
Name:PARSONS, VICTORIA ANN (MS, RD, LDN, CNSC)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ANN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MS, RD, LDN, CNSC
Other - Prefix:MISS
Other - First Name:VICTORIA
Other - Middle Name:ANN
Other - Last Name:HARTFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LDN
Mailing Address - Street 1:145 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-2768
Mailing Address - Country:US
Mailing Address - Phone:978-835-6666
Mailing Address - Fax:
Practice Address - Street 1:145 HERITAGE DR
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-2768
Practice Address - Country:US
Practice Address - Phone:978-835-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4824133V00000X
8267147133V00000X
86061610133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered