Margaret Uryasz, RD, LD

Individual provider Active NPI Registered Dietitian · Bruceton Mills, WV

NPI 1487701736 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1487701736
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1066 (WV)
Practice address
198 Morgantown St
Bruceton Mills, WV 26525-5003
Phone
(806) 787-2112
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

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
DT02609TXMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT02609 TX
Registered Dietitian 133V00000X 1066 WV Yes

Addresses

Primary practice location

198 Morgantown St
Bruceton Mills, WV 26525-5003

Mailing address

4005 Shadybrook Cir
Morgantown, WV 26508-8629
Phone (806) 787-2112

Other identifiers

IdentifierTypeStateIssuer
8DR379OtherTXBLUE CROSS BLUE SHIELD
005732502MedicaidTX

Other names

  • Margie Uryasz Professional name

Other providers in Bruceton Mills, WV

All providers in Bruceton Mills, WV · Registered Dietitian in West Virginia

Sources for this page

Verify at the official NPI Registry.