IndividualActive
Marybeth Reardon, M.S.,R.D., L.D.N
NPI 1295950970 · Nutritionist · Waban, MA
Provider details
- NPI number
- 1295950970
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- M.S.,R.D., L.D.N
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3553 (MA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
92 Beethoven Ave
Waban, MA 02468-1746
Phone: (617) 916-0468
Approximate (ZIP-level) locationGet directions
Mailing address
22 Puritan Rd
Newton, MA 02461-1022
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2023-01-12
- Certified
- 2023-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.