Provider Demographics
NPI:1992573661
Name:FERRARESE, MILAENA (MS, RDN, MCHT, MTLT)
Entity type:Individual
Prefix:
First Name:MILAENA
Middle Name:
Last Name:FERRARESE
Suffix:
Gender:F
Credentials:MS, RDN, MCHT, MTLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CHURCH ST APT 3310
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-3924
Mailing Address - Country:US
Mailing Address - Phone:518-937-3882
Mailing Address - Fax:
Practice Address - Street 1:900 CHURCH ST APT 3310
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-3924
Practice Address - Country:US
Practice Address - Phone:518-937-3882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86148343133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered