Povinelli, Abby

Povinelli, Abby is an individual health care provider with primary practice located at 750 Old Hickory Blvd Ste 150 , Brentwood TN 37027-5387. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Povinelli, Abby can be contacted via phone (615) 658-8420.

Contact Information

Primary practice address
750 Old Hickory Blvd Ste 150 Brentwood TN 37027-5387
Phone: (615) 658-8420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 4110 Tennessee
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37003767A Indiana

Profile Details

NPI number 1245902923
LBN Legal business name Povinelli, Abby
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2021
Last updated Oct 16th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245902923 NPPES
Tennessee MEDICAID Q071828

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