Doctor Name: | NATALLIA BERILA |
NPI Number: | 1053663955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | 1069849 |
Business Practice Address: | 4616 E Street Rd Feasterville Trevose, PA - 190536612 |
Business Phone Number: | 2157161650 |
Business Fax Number: | 2156003354 |
Mailing Address: | 4616 E Street Rd, FEASTERVILLE TREVOSE |
State: | PA |
Postal Code: | 190536612 |
Phone Number: | 2157161650 |
Fax Number: | 2156003354 |
NPI Enumeration Date: | 10/03/2012 |
NPI Last Update Date: | 12/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 1069849 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |