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NPI Code Detail

MEDICARE: ELANA RACHELLE STURM MS, RDN

MEDICARE:   ELANA RACHELLE STURM  MS, RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian010181NY

General Provider Information

NPI Number : 1093363814
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELANA RACHELLE STURM MS, RDN
Provider Business Mailing Address
First Line : 5 WISHERS LN
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-1717
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5 WISHERS LN
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-1717
Country : US
Telephone Number : 732-522-0582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2019
Last Update Date : 04/28/2020

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Directions to “ ELANA RACHELLE STURM MS, RDN” Practice Location

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