Raenette Lynn Neidhardt, RDN,LDN is a
Dietitian, Registered based in Fort Irwin, California. Raenette Lynn Neidhardt is licensed to practice in Ohio (license number LD.08548) and her current practice location is
Bldg 390 N Loop Road, Fort Irwin, California. She can be reached at her office (for appointments etc.) via phone at
(760) 383-5502.
NPI number for Raenette Lynn Neidhardt is 1881357150 and her current mailing address is 4720 Nancy St Unit B, Fort Irwin, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881357150.
Healthcare Provider's Profile
Full Name | Raenette Lynn Neidhardt |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | Bldg 390 N Loop Road, Fort Irwin, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881357150
- Provider Enumeration Date: 10/14/2021
- Last Update Date: 10/14/2021
Medical Identifiers
Medical identifiers for Raenette Lynn Neidhardt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881357150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD.08548 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raenette Lynn Neidhardt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Raenette Lynn Neidhardt, RDN,LDN 4720 Nancy St Unit B, Fort Irwin, CA 92310-3400 Ph: (937) 418-7522 | Raenette Lynn Neidhardt, RDN,LDN Bldg 390 N Loop Road, Fort Irwin, CA 92310 Ph: (760) 383-5502 |
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