Provider Demographics
NPI:1063307536
Name:TOWNSEND-WILLIAMS, ALICE (RD, LDN, IBCLC)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:TOWNSEND-WILLIAMS
Suffix:
Gender:F
Credentials:RD, LDN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 FAIRGROUNDS RD
Mailing Address - Street 2:
Mailing Address - City:NANTUCKET
Mailing Address - State:MA
Mailing Address - Zip Code:02554-2804
Mailing Address - Country:US
Mailing Address - Phone:603-714-0946
Mailing Address - Fax:603-714-0946
Practice Address - Street 1:34 FAIRGROUNDS RD
Practice Address - Street 2:
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554-2804
Practice Address - Country:US
Practice Address - Phone:603-714-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN5253133V00000X
174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174N00000XOther Service ProvidersLactation Consultant, Non-RN