Ashley Reaver Nutrition Llc | |
331 Lindbergh Ave, Frederick, MD 21701-4849 | |
(240) 674-0948 | |
Not Available |
Full Name | Ashley Reaver Nutrition Llc |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 331 Lindbergh Ave, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083193742 | NPI | - | NPPES |
1871070805 | Other | MD | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DX4421 (Maryland) | Primary |
Provider Name | Ashley Reaver |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1871070805 PECOS PAC ID: 3870927346 Enrollment ID: I20191217003127 |
Mailing Address | Practice Location Address |
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Ashley Reaver Nutrition Llc 331 Lindbergh Ave, Frederick, MD 21701-4849 Ph: (240) 674-0948 | Ashley Reaver Nutrition Llc 331 Lindbergh Ave, Frederick, MD 21701-4849 Ph: (240) 674-0948 |
Katherine N Fields, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 7211 Bank Ct, Suite 240, Frederick, MD 21703 Phone: 240-215-1454 Fax: 240-215-1430 | |
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