Ryan L Antrilli, RD, LDN

Individual provider Active NPI Registered Dietitian · Seneca, PA

NPI 1992875199 · NPPES record last updated Jul 15, 2009

Key facts

NPI
1992875199
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DN003038 (PA)
Practice address
100 Fairfield Dr
Seneca, PA 16346-2130
Phone
(814) 676-7107
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Northwest Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003038 PA Yes

Addresses

Primary practice location

100 Fairfield Dr
Seneca, PA 16346-2130

Mailing address

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (814) 676-7107

Other providers in Seneca, PA

All providers in Seneca, PA · Registered Dietitian in Pennsylvania

Sources for this page

Verify at the official NPI Registry.