Andrea Dawn Bazzanella, RD
Individual provider Active NPI Registered Dietitian · Bayville, NJ
NPI 1760140743 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1760140743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 37 Browning Ave
Bayville, NJ 08721-1237 - Phone
- (316) 204-0841
- NPI assigned
- Dec 7, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
37 Browning Ave
Bayville, NJ 08721-1237
Mailing address
37 Browning Ave
Bayville, NJ 08721-1237
Phone (316) 204-0841
Other providers in Bayville, NJ
- Linda Bass
- Amber Lynn Battaglia
- Bayville Dental Arts
- Bayville Emergency Medical Services Inc
- Bayville First Aid Squad
- Donovan W. Bedward
- Stephanie Sommerlad Bello
- Sakina H. Bengali
- Courtney Lauren Berhang
- Berkeley Township Board of Education
All providers in Bayville, NJ · Registered Dietitian in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. 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.