Andrea J Abatemarco, RD
Individual provider Active NPI Registered Dietitian · Detroit, MI
NPI 1104073162 · NPPES record last updated Aug 21, 2008
Key facts
- NPI
- 1104073162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 01024498 (IL)
- Practice address
- 4201 Saint Antoine St
Uhc, Suite 5a
Detroit, MI 48201-2153 - Phone
- (313) 745-4525
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01024498 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Past | Accepting new patients | |
| University Physician Group | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01024498 | IL | Yes |
Addresses
Primary practice location
4201 Saint Antoine St
Uhc, Suite 5a
Detroit, MI 48201-2153
Mailing address
3800 Woodward Ave
Suite 600
Detroit, MI 48201-2061
Other providers in Detroit, MI
- Leila Abaab Drira
- Mura Abachi
- Jamie Therese Abad
- Eden Abapo
- Priseval-Henry Cornelio Abapo
- Khaled Elias Jiries Abawi
- Abayomi Community Development Corporation
- Omar Abazeed
- Abba Care Corporation
- Ahmad Abbas Abbas
All providers in Detroit, MI · Registered Dietitian in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2008. 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.