Paula Harrison

Individual provider Active NPI Registered Dietitian · Manakin Sabot, VA

NPI 1659000305 · NPPES record last updated Jun 8, 2022

Key facts

NPI
1659000305
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
12379 S Readers Cir
Manakin Sabot, VA 23103-2632
Phone
(201) 388-6313
NPI assigned
Jun 8, 2022
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X Yes

Addresses

Primary practice location

12379 S Readers Cir
Manakin Sabot, VA 23103-2632

Mailing address

12379 S Readers Cir
Manakin Sabot, VA 23103-2632
Phone (201) 388-6313

Other identifiers

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL PracticeBetter

Other providers in Manakin Sabot, VA

All providers in Manakin Sabot, VA · Registered Dietitian in Virginia

Sources for this page

Verify at the official NPI Registry.