Mary Frances Astrom, RD, LD, CDE
Individual provider Active NPI Registered Dietitian · Athens, OH
NPI 1972741908 · NPPES record last updated Jan 29, 2009
Key facts
- NPI
- 1972741908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD4452 (OH)
- Practice address
- Wellworks Grover Center E 144
Ohio University
Athens, OH 45701 - Phone
- (749) 593-0250
- Fax
- (740) 593-0170
- NPI assigned
- Jan 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD4452 | OH | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD4452 | OH | Yes |
Addresses
Primary practice location
Wellworks Grover Center E 144
Ohio University
Athens, OH 45701
Mailing address
Wellworks Grover Center E144
Ohio University
Athens, OH 45701
Phone (749) 593-0250
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2009. 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.