Provider Demographics
NPI:1609612860
Name:CEPULE, VIKTORIJA (RD, RDN)
Entity type:Individual
Prefix:
First Name:VIKTORIJA
Middle Name:
Last Name:CEPULE
Suffix:
Gender:F
Credentials:RD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2623
Mailing Address - Country:US
Mailing Address - Phone:508-367-6685
Mailing Address - Fax:
Practice Address - Street 1:60 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2623
Practice Address - Country:US
Practice Address - Phone:508-367-6685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-06
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86346177133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered