Provider Demographics
NPI:1588254882
Name:DEVEAU, BRIGITTE (RDN)
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:
Last Name:DEVEAU
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 GREAT OAK ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-4202
Mailing Address - Country:US
Mailing Address - Phone:617-460-0696
Mailing Address - Fax:
Practice Address - Street 1:26 GREAT OAK ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-4202
Practice Address - Country:US
Practice Address - Phone:617-460-0696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered