Provider Demographics
NPI:1730551367
Name:FINNERTY, JANYL (RDN, LDN)
Entity type:Individual
Prefix:MRS
First Name:JANYL
Middle Name:
Last Name:FINNERTY
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 DUTTON RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-2805
Mailing Address - Country:US
Mailing Address - Phone:671-838-9427
Mailing Address - Fax:978-440-9110
Practice Address - Street 1:116 DUTTON RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-2805
Practice Address - Country:US
Practice Address - Phone:671-838-9427
Practice Address - Fax:978-440-9110
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MANU1430133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered