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NPI Code Detail

MEDICARE: CORINNE WERNICK R.D.

MEDICARE: CORINNE WERNICK R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDN000664PA

General Provider Information

NPI Number : 1023148400
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE WERNICK R.D.
Provider Business Mailing Address
First Line : 50 COMMERCE DR
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-3335
Country : US
Telephone Number : 610-372-8044
Fax Number : 484-334-7026
Provider Business Practice Location Address
First Line : 1991 STATE HILL RD
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-1648
Country : US
Telephone Number : 610-988-4270
Fax Number : 610-988-4261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 06/04/2012

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