Brenda Christine Shilling, RD, LDN

Individual provider Active NPI Registered Dietitian · Cherry Tree, PA

NPI 1699720177 · NPPES record last updated May 12, 2011

Key facts

NPI
1699720177
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DN003463 (PA)
Practice address
1000 Lion Road
Dietician
Cherry Tree, PA 15724
Phone
(814) 743-6565
Fax
(724) 357-8046
NPI assigned
May 23, 2006
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003463 PA Yes

Addresses

Primary practice location

1000 Lion Road
Dietician
Cherry Tree, PA 15724

Mailing address

1000 Lion Road
PO Box 788
Cherry Tree, PA 15724
Phone (814) 743-6565

Other providers in Cherry Tree, PA

All providers in Cherry Tree, PA · Registered Dietitian in Pennsylvania

Sources for this page

Verify at the official NPI Registry.