Provider Demographics
NPI:1336988096
Name:MAISIE OSTRYE NUTRITION
Entity type:Organization
Organization Name:MAISIE OSTRYE NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:MAISIE
Authorized Official - Middle Name:LABRIE
Authorized Official - Last Name:OSTRYE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:207-200-8471
Mailing Address - Street 1:9 LONE PINE LN
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6119
Mailing Address - Country:US
Mailing Address - Phone:617-448-9817
Mailing Address - Fax:
Practice Address - Street 1:9 LONE PINE LN
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6119
Practice Address - Country:US
Practice Address - Phone:207-200-8471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty