Danielle Martin, RDN | |
4644 Everest Dr, Westfield, IN 46062-6989 | |
(219) 741-7519 | |
Not Available |
Full Name | Danielle Martin |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 4644 Everest Dr, Westfield, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124733993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 37002820A (Indiana) | Primary |
Provider Name | Ilivewell Nutrition Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
Mailing Address | Practice Location Address |
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Danielle Martin, RDN 4644 Everest Dr, Westfield, IN 46062-6989 Ph: () - | Danielle Martin, RDN 4644 Everest Dr, Westfield, IN 46062-6989 Ph: (219) 741-7519 |
Jennifer Anttonen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17762 White Willow Dr., Westfield, IN 46074 Phone: 812-571-1224 | |
Mrs. Julieann A Hasler, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 374 Cheltenham Dr, Westfield, IN 46074 Phone: 317-557-6993 | |
Dawn Boxell, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1917 Emerald Pines Ln, Westfield, IN 46074 Phone: 317-439-4511 |