Female

Nyssa Entrekin RD, LDN

Registered Dietitian in Philadelphia, PA(View on Map)

Full Name

Nyssa Entrekin RD, LDN

NPI Number

1356885511

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/07/2016

Specialties

(Taxonomies)

Code

133V00000X

Primary Taxonomy

Yes

Licenses

State

Pennsylvania

License Number

DN005854

Contact
Information

Purpose

Mailing
Location

Address

301 LIPPINCOTT DR
160 E ERIE AVE

City

Marlton
Philadelphia

State

NJ
PA

Postal Code

08053-4197
19134-1011

Country

US
US

Telephone Number

(856) 355-0335
(215) 427-4889

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/11/2018

Provider Address

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