Doctor Name: | MARY J OBENREDER |
NPI Number: | 1679540801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LDN |
License Number: | DN001372 |
Business Practice Address: | 1 Hospital Dr Clarion, PA - 162148501 |
Business Phone Number: | 8142263416 |
Business Fax Number: | 8142261457 |
Mailing Address: | 1192 Treasure Lk, DU BOIS |
State: | PA |
Postal Code: | 158019028 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN001372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |