Healthcare Provider Details

I. General information

NPI: 1144389446
Provider Name (Legal Business Name): NADINE UPLINGER MS, RD, CDE, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 OLD YORK RD 3216 LEVY
PHILADELPHIA PA
19141
US

IV. Provider business mailing address

810 BRISTOL RD
SOUTHAMPTON PA
18966-3923
US

V. Phone/Fax

Practice location:
  • Phone: 215-456-6865
  • Fax: 215-456-4992
Mailing address:
  • Phone: 267-994-0882
  • Fax: 215-953-0889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN000049
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: