Healthcare Provider Details

I. General information

NPI: 1104976489
Provider Name (Legal Business Name): DONNA M SCARLETT RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA M HARTUNG RD,LDN

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

562 SHEARER ST CKD SERVICES OF GREENSBURG
GREENSBURG PA
15601-2746
US

IV. Provider business mailing address

27 SEANOR ST
JEANNETTE PA
15644-3150
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-8061
  • Fax: 724-832-9311
Mailing address:
  • Phone: 724-527-1960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License NumberDN001724
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: