| Dana Maria Herazo, RD,LD,CDE | |
|
251 N Bayou St, Mobile, AL 36603-5827 | |
| (251) 690-8847 | |
| (251) 544-2188 |
| Full Name | Dana Maria Herazo |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 251 N Bayou St, Mobile, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962530840 | NPI | - | NPPES |
| 1063439065 | Other | AL | NPI GROUP PAYEE NUMBER |
| 011846 | Other | AL | MEDICARE GROUP PAYEE NUMBER |
| 630000013 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD 131 (Ohio) | Secondary |
| 133V00000X | Dietitian, Registered | 667852 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Maria Herazo, RD,LD,CDE 251 N Bayou St, Mobile, AL 36603-5827 Ph: (251) 690-8847 | Dana Maria Herazo, RD,LD,CDE 251 N Bayou St, Mobile, AL 36603-5827 Ph: (251) 690-8847 |
Colleen Dawley, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2561 Dauphin St, Mobile, AL 36606 Phone: 251-478-2214 | |
Innovative Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Memorial Hospital Dr Ste 3c, Mobile, AL 36608 Phone: 251-272-9654 Fax: 251-243-4942 | |
Mrs. Lauren Groover, RDN LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 55 Midtown Park E, Mobile, AL 36606 Phone: 251-478-2233 Fax: 877-816-0592 | |
Tinsley Phillips Chavers, Dietitian Medicare: Medicare Enrolled Practice Location: 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617 Phone: 251-470-5890 Fax: 251-471-7925 | |
Lila S Sanders, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2029b Airport Blvd Ste 195, Mobile, AL 36606 Phone: 251-478-2233 Fax: 251-478-2231 | |
Margaret Inge, MS, RDN LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 55 Midtown Park E, Mobile, AL 36606 Phone: 251-478-2233 Fax: 877-816-0592 | |
Mrs. Phyllus J Justice, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6701 Airport Blvd, Mobile, AL 36608 Phone: 251-633-8880 Fax: 251-633-2817 |