Provider Demographics
NPI:1730946534
Name:DUFFEY, ALISON (MS, RDN, LDN, FAND)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:DUFFEY
Suffix:
Gender:F
Credentials:MS, RDN, LDN, FAND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42083 JOURNEY DR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33982-2279
Mailing Address - Country:US
Mailing Address - Phone:239-877-6875
Mailing Address - Fax:
Practice Address - Street 1:42083 JOURNEY DR
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33982-2279
Practice Address - Country:US
Practice Address - Phone:239-877-6875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3824133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered