Mrs Diane B Misner, RD | |
400 W Blackwell St, Regional Diabetes Center, Dover, NJ 07801-2525 | |
(973) 989-3637 | |
(973) 398-9304 |
Full Name | Mrs Diane B Misner |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 400 W Blackwell St, Dover, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457530818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 564534 (New Jersey) | Primary |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 564534 (New Jersey) | Secondary |
Provider Name | Diane's 365 Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760862205 PECOS PAC ID: 8022322973 Enrollment ID: O20150805008320 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diane B Misner, RD 25 Birdseye Gln, Verona, NJ 07044-2304 Ph: (973) 857-1590 | Mrs Diane B Misner, RD 400 W Blackwell St, Regional Diabetes Center, Dover, NJ 07801-2525 Ph: (973) 989-3637 |
Ilyse G Berger, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 West Blackwell Street, Saint Clare's Hospital, Dover, NJ 07801 Phone: 973-989-3000 | |
Mrs. Jody Lashen, R.D.,C.D.E Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 W Blackwell St, Regional Diabetes Center, Dover, NJ 07801 Phone: 973-989-3637 | |
Mr. Roger Elroy Warn, MS, RDN, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 18 Reservoir Ave, Dover, NJ 07801 Phone: 201-819-9217 | |
Cheryl A Iannicelli, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 W Blackwell St, Saint Clare's Hospital, Dover, NJ 07801 Phone: 973-537-3805 | |
Ms. Elizabeth S Rodriguez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Audrey Pl, Dover, NJ 07801 Phone: 973-537-1474 Fax: 973-537-1474 | |
Miss Vanessa Patricia Perez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16 Pine St, Dover, NJ 07801 Phone: 973-885-5763 |