Angela M. Nolan, RD

Individual provider Active NPI Registered Dietitian · Romansville, PA

NPI 1194979351 · NPPES record last updated Oct 11, 2022

Key facts

NPI
1194979351
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DN004001 (PA)
Practice address
1217 Anderlea Dr
Romansville, PA 19320-4856
Phone
(267) 760-7778
Fax
(267) 760-7778
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DN004001PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutriwell LLC Dietitian, Registered Current
since Jul 8, 2013
Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angela.nolan.1@23049.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN004001 PA Yes
Registered Dietitian 133V00000X

Addresses

Primary practice location

1217 Anderlea Dr
Romansville, PA 19320-4856

Mailing address

1217 Anderlea Dr
Romansville, PA 19320-4856
Phone (267) 760-7778

Other practice location 1

4055 Ridge Ave
Apt 3608
Philadelphia, PA 19129-1576
Phone (267) 760-7778

Other providers in Romansville, PA

All providers in Romansville, PA · Registered Dietitian in Pennsylvania

Sources for this page

Verify at the official NPI Registry.