IndividualActive
Kristen Petterson, RD
NPI 1295983146 · Renal Nutrition Registered Dietitian · Montclair, NJ
Provider details
- NPI number
- 1295983146
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 631196
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
226 Walnut St
Montclair, NJ 07042-2972
Phone: (973) 224-7644
Fax: (973) 695-2003
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 43463
Upper Montclair, NJ 07043-0463
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2008-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.