| Elise Harlow, MS, RD | |
|
26461 Crown Valley Pkwy Ste 100, Mission Viejo, CA 92691-6377 | |
| (512) 656-2813 | |
| Not Available |
| Full Name | Elise Harlow |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 26461 Crown Valley Pkwy Ste 100, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962877522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86034751 (California) | Primary |
| Provider Name | Ilivewell Nutrition Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Harlow, MS, RD 18332 Patterson Ln Apt 2, Huntington Beach, CA 92646-1682 Ph: (512) 656-2813 | Elise Harlow, MS, RD 26461 Crown Valley Pkwy Ste 100, Mission Viejo, CA 92691-6377 Ph: (512) 656-2813 |
Suellen M. Scarff, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25982 Pala, Suite 140, Mission Viejo, CA 92691 Phone: 949-770-0730 | |
Lori Gelgur, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27171 Soledad, Mission Viejo, CA 92691 Phone: 949-855-8880 | |
Christine L Coy, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 26800 Crown Valley Pkwy Ste 250, Mission Viejo, CA 92691 Phone: 949-542-8004 | |
Joanne Demarchi, MA, RD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 22332 Shadow Rdg, Mission Viejo, CA 92692 Phone: 949-202-7570 | |
Julee Stand, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26461 Crown Valley Pkwy, Suite 100, Mission Viejo, CA 92691 Phone: 949-677-5271 Fax: 949-272-3766 | |
Martha Jean Gray, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-2002 Fax: 949-367-5200 | |
Marissa Anne Kent, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26461 Crown Valley Pkwy, Suite 100, Mission Viejo, CA 92691 Phone: 949-378-1047 Fax: 949-215-2486 |