| Marlena Tanner, Rdn, Llc | |
|
508 Higuera St, San Luis Obispo, CA 93401-3835 | |
| (805) 591-0712 | |
| Not Available |
| Full Name | Marlena Tanner, Rdn, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 508 Higuera St, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942716626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 929304 (California) | Primary |
| Provider Name | Briana J Loudermilk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134402480 PECOS PAC ID: 6204253685 Enrollment ID: I20200831001713 |
| Provider Name | Marlen Tanner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871828962 PECOS PAC ID: 3870910151 Enrollment ID: I20200901002471 |
| Provider Name | Cameron M Jung-fagan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922616044 PECOS PAC ID: 4183041106 Enrollment ID: I20200903003821 |
| Provider Name | Arisahi Crane |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841075876 PECOS PAC ID: 7012355860 Enrollment ID: I20240329001609 |
| Provider Name | Elizabeth Casparro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174741730 PECOS PAC ID: 3779921549 Enrollment ID: I20240329002356 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlena Tanner, Rdn, Llc Po Box 1313, Cambria, CA 93428-1313 Ph: (805) 591-0712 | Marlena Tanner, Rdn, Llc 508 Higuera St, San Luis Obispo, CA 93401-3835 Ph: (805) 591-0712 |
Mrs. Elizabeth Parker, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1360 Laurel Ln Apt 8, San Luis Obispo, CA 93401 Phone: 805-801-1321 | |
Leah M Tanner, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405 Phone: 805-548-8585 Fax: 805-548-8589 | |
Samantha Lalush Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1022 Mill St, San Luis Obispo, CA 93401 Phone: 805-242-6417 Fax: 805-249-1915 | |
Mrs. Sandra Nickole Miller, RD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-542-6229 | |
Courtney Kay Kinder, MS, RDN, IFNCP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1264 Higuera St Ste 102, San Luis Obispo, CA 93401 Phone: 805-439-4706 | |
Leslie Richards, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1318 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-541-2300 Fax: 805-541-2301 | |
Susan Ann Gollnick, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 253 Granada Dr, San Luis Obispo, CA 93401 Phone: 805-543-2244 Fax: 805-543-2224 |