Healthcare Provider Details

I. General information

NPI: 1972621936
Provider Name (Legal Business Name): FLORENCE ANN NORELLI RD,LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 N 13TH ST
ALLENTOWN PA
18102-2104
US

IV. Provider business mailing address

530 N 13TH ST
ALLENTOWN PA
18102-2104
US

V. Phone/Fax

Practice location:
  • Phone: 610-533-7813
  • Fax:
Mailing address:
  • Phone: 610-533-7813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN000594
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: