Sydney Nicole Mitcheltree, DTR
Individual provider Active NPI Registered Dietetic Technician · Moon TWP, PA
NPI 1366072191 · NPPES record last updated Jan 21, 2020
Key facts
- NPI
- 1366072191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietetic Technician 136A00000X
- Practice address
- 111 Idleworth Dr
Moon TWP, PA 15108-1008 - Phone
- (412) 445-2627
- NPI assigned
- Jan 21, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietetic Technician | 136A00000X | Yes |
Addresses
Primary practice location
111 Idleworth Dr
Moon TWP, PA 15108-1008
Mailing address
111 Idleworth Dr
Moon TWP, PA 15108-1008
Phone (412) 445-2627
Other providers in Moon TWP, PA
- Gerald Allen Macfarland
- Elaine McGhee
- Amy Grace McLaughlin
- Douglas Charles Migitsch
- Patricia S Miller
- Matthew Robert Monte
- Rachelle Moore
- Michael J Moretti
- Steven Charles Morreale
- Jessica Navarro
All providers in Moon TWP, PA · Registered Dietetic Technician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2020. 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.