BERTILLE OCTAVIE MAVEGAM TANGO ASSOUMOU M
NPI 1336694066
Nutritionist - Nutrition, Education in Northampton, MA

Q: What is Bertille Octavie Mavegam Tango Assoumou M's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

Active since August 23, 2016

22 ATWOOD DR FL 1, NORTHAMPTON, MA 01060(413) 586-1601(413) 923-9304 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bertille Octavie Mavegam Tango Assoumou M NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERTILLE OCTAVIE MAVEGAM TANGO ASSOUMOU M (NPI 1336694066) is an individual nutrition, education provider in Northampton, Massachusetts and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1336694066

Entity TypeIndividualFemale

Primary Taxonomy133NN1002X

Provider Legal NameBERTILLE OCTAVIE MAVEGAM TANGO ASSOUMOU M

Location Address22 ATWOOD DR FL 1Northampton, MA 01060-4267

Mailing Address22 Atwood Dr Fl 1Northampton, MA 01060-4267 · (413) 586-1601 · Fax (413) 923-9304

Phone(413) 586-1601

Fax(413) 923-9304

Sole ProprietorNo

Enumeration DateAugust 23, 2016

✔ NPI 1336694066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers

Taxonomy Code133NN1002X

22 ATWOOD DR FL 1, Northampton, MA 01060

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bertille Octavie Mavegam Tango Assoumou M's NPI number?

The NPI number for Bertille Octavie Mavegam Tango Assoumou M is 1336694066. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Bertille Octavie Mavegam Tango Assoumou M located?

Bertille Octavie Mavegam Tango Assoumou M practices at 22 Atwood Dr Fl 1, Northampton, MA 01060. The listed phone number is (413) 586-1601.

What is Bertille Octavie Mavegam Tango Assoumou M's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Bertille Octavie Mavegam Tango Assoumou M was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.