Healthcare Provider Details

I. General information

NPI: 1376575944
Provider Name (Legal Business Name): RITA MARIE DE FREITAS R.D., L.D.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RITA MARIE EDMONDSON R.D., L.D.N.

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 MAPLE DR
WARRENDALE PA
15086-7590
US

IV. Provider business mailing address

2912 SUMMERSWEET PL
THE WOODLANDS TX
77380-1332
US

V. Phone/Fax

Practice location:
  • Phone: 724-814-0247
  • Fax: 724-933-1916
Mailing address:
  • Phone: 412-779-1280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN003348
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: