Provider Demographics
NPI:1588296974
Name:PIERRO, EILEEN A (EDM, RDN, LD)
Entity type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:A
Last Name:PIERRO
Suffix:
Gender:F
Credentials:EDM, RDN, LD
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:A
Other - Last Name:FIGUEROA PIERRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDM, RDN, LD
Mailing Address - Street 1:34 HAVERHILL ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-2884
Mailing Address - Country:US
Mailing Address - Phone:978-686-0090
Mailing Address - Fax:
Practice Address - Street 1:109 DRINKWATER RD
Practice Address - Street 2:
Practice Address - City:HAMPTON FALLS
Practice Address - State:NH
Practice Address - Zip Code:03844
Practice Address - Country:US
Practice Address - Phone:603-247-2998
Practice Address - Fax:603-775-0020
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1057133V00000X
MA1921133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered