Healthcare Provider Details

I. General information

NPI: 1487852976
Provider Name (Legal Business Name): ROSEMARY R. COUZENS MS, RD, LDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1669 EDGEWOOD RD SUITE 205
YARDLEY PA
19067-5571
US

IV. Provider business mailing address

1249 MADISON DR
YARDLEY PA
19067-4305
US

V. Phone/Fax

Practice location:
  • Phone: 215-932-9262
  • Fax: 215-642-2216
Mailing address:
  • Phone: 215-932-9262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN000487
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: