Elizabeth Walker, RD, LDN
Individual provider Active NPI Registered Dietitian · Runnemede, NJ
NPI 1265086359 · NPPES record last updated Jul 28, 2019
Key facts
- NPI
- 1265086359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN006703 (PA)
- Practice address
- 30 W 4TH Ave
Runnemede, NJ 08078-1301 - Phone
- (607) 742-5717
- NPI assigned
- Jul 28, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN006703 | PA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN006703 | PA | Yes |
Addresses
Primary practice location
30 W 4TH Ave
Runnemede, NJ 08078-1301
Mailing address
30 W 4TH Ave
Runnemede, NJ 08078-1301
Phone (607) 742-5717
Other providers in Runnemede, NJ
- Dongjin Shin
- Davina Ann Soernssen
- The Optical Shoppe Inc.
- Andrea Lynn Tilton
- Vianca S Vargas
- Jordynbrielle Elaine Wallace
- Charles Christopher Wills
- Michael Joseph Yaros
All providers in Runnemede, NJ · Registered Dietitian in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2019. 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.