Beverly Fountain, | |
20930 Dupont Blvd Unit 202, Georgetown, DE 19947-1724 | |
(302) 856-3737 | |
Not Available |
Full Name | Beverly Fountain |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Obesity And Weight Management |
Location | 20930 Dupont Blvd Unit 202, Georgetown, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225750813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | DN-0010985 (Delaware) | Primary |
Provider Name | Nutrihealth Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013547637 PECOS PAC ID: 9537597919 Enrollment ID: O20200318000782 |
Mailing Address | Practice Location Address |
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Beverly Fountain, 20930 Dupont Blvd Unit 101, Georgetown, DE 19947-1723 Ph: () - | Beverly Fountain, 20930 Dupont Blvd Unit 202, Georgetown, DE 19947-1724 Ph: (302) 856-3737 |
Kelsey Elizabeth Mcmunn, MS, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438 | |
Laura Ames, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 22401 Park Ave, Georgetown, DE 19947 Phone: 302-841-2421 | |
Taylor M Domann, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd, Georgetown, DE 19947 Phone: 302-202-3438 | |
Lynleigh Palmer, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14280 Brandy Ln, Georgetown, DE 19947 Phone: 856-472-2555 | |
Shawnee Seitz, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26026 Patriots Way, Georgetown, DE 19947 Phone: 302-542-5169 | |
Jaclyn Elise Wahner, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 20930 Dupont Blvd Unit 202, Georgetown, DE 19947 Phone: 302-202-3438 |