Maria Taramelli, RD LDN

Individual provider Active NPI Registered Dietitian · Eynon, PA

NPI 1558628131 · NPPES record last updated Apr 19, 2012

Key facts

NPI
1558628131
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DN000564 (PA)
Practice address
801 Scranton Carbondale Hwy
Eynon, PA 18403-1020
Phone
(570) 876-1200
Fax
(570) 876-1288
NPI assigned
Apr 19, 2012
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)
No

State licenses

LicenseStateTypeSpecialty
DN000564PAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN000564 PA Yes

Addresses

Primary practice location

801 Scranton Carbondale Hwy
Eynon, PA 18403-1020

Mailing address

801 Scranton/Carbondale Highway
Eynon, PA 18403-1020
Phone (570) 876-1200

Other providers in Eynon, PA

All providers in Eynon, PA · Registered Dietitian in Pennsylvania

Sources for this page

Verify at the official NPI Registry.