Advantage Nutrition & Wellness, Llc | |
961 Marcon Blvd Ste 115, Allentown, PA 18109-9371 | |
(610) 443-1885 | |
(610) 443-1685 |
Full Name | Advantage Nutrition & Wellness, Llc |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 961 Marcon Blvd Ste 115, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710168638 | NPI | - | NPPES |
102392708 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DN001283 (Pennsylvania) | Primary |
133V00000X | Dietitian, Registered | DN003573 (Pennsylvania) | Secondary |
Provider Name | Jennifer Becker Doane |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1164460440 PECOS PAC ID: 4385655422 Enrollment ID: I20060605000222 |
Provider Name | Jacqueline R Jarrett |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1295815900 PECOS PAC ID: 5698812501 Enrollment ID: I20091125000047 |
Mailing Address | Practice Location Address |
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Advantage Nutrition & Wellness, Llc 961 Marcon Blvd Ste 115, Allentown, PA 18109-9371 Ph: (610) 443-1885 | Advantage Nutrition & Wellness, Llc 961 Marcon Blvd Ste 115, Allentown, PA 18109-9371 Ph: (610) 443-1885 |
Andrea Julia Ross, PA-C Dietitian Medicare: Medicare Enrolled Practice Location: 1501 N Cedar Crest Blvd Ste 110, Allentown, PA 18104 Phone: 610-821-2828 | |
Rachel Ackley, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 College Dr, Allentown, PA 18104 Phone: 610-437-4471 | |
Ms. Margaret A Shannon, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Lehigh Pkwy E, Suite 1f, Allentown, PA 18103 Phone: 610-799-6734 Fax: 610-821-1243 | |
Carrie L Gerencher, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8609 Fax: 610-402-1034 | |
Ms. Kathleen M. Hanuschak, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 South Cedar Crest Boulevard, Sodexo Administration Office, Allentown, PA 18103 Phone: 610-402-7949 Fax: 610-402-7460 | |
Jennifer L Stranzl, RD Dietitian Medicare: Medicare Enrolled Practice Location: 250 Cetronia Rd, Allentown, PA 18104 Phone: 610-973-6200 Fax: 866-644-0894 | |
Mrs. Renee Frances Selby, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8313 |