Doctor Name: | PENELOPE JEAN AMICK |
NPI Number: | 1760803902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LDN |
License Number: | DN002069 |
Business Practice Address: | 763 Johnsonburg Rd Saint Marys, PA - 158573417 |
Business Phone Number: | 8147888860 |
Business Fax Number: | 8147888044 |
Mailing Address: | 763 Johnsonburg Rd, SAINT MARYS |
State: | PA |
Postal Code: | 158573417 |
Phone Number: | 8147888860 |
Fax Number: | 8147888044 |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 12/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN002069 |
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 |