MEDICARE: ALEXANDRA PEWORCHIK RDN

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
1	133V00000X	Registered Dietitian	DN005009	PA

General Provider Information

NPI Number	:	1518818806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA PEWORCHIK RDN

Provider Business Mailing Address
First Line	:	205 ELMHURST CIR
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-2819
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 ELMHURST CIR
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-2819
Country	:	US
Telephone Number	:	607-425-5749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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