Amber Lynn Conner, MS, RDN, LDN
Individual provider Active NPI Sports Dietetics Nutrition Registered Dietitian · Brookhaven, PA
NPI 1033939210 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1033939210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian 133VN1501X
- License
- 86392701 (PA)
- Practice address
- 249 Charles Ave
Brookhaven, PA 19015-2706 - Phone
- (610) 570-8121
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86392701 | PA | MD | Sports Dietetics Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 86392701 | PA | Yes |
Addresses
Primary practice location
249 Charles Ave
Brookhaven, PA 19015-2706
Mailing address
249 Charles Ave
Brookhaven, PA 19015-2706
Phone (610) 570-8121
Other providers in Brookhaven, PA
- Casseys Optical, Inc
- John C Cavallaro
- Communities of Don Guanella and Divine Providence
- Compassionate Home Care of Delaware County LLC
- Erica C Conklin
- Danette Cooper
- Craig a. Cassey O D P C
- Amanda Creeden
- Crescent Dental LLC
- Robert F. Crowell
All providers in Brookhaven, PA · Sports Dietetics Nutrition Registered Dietitian in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.