MEDICARE: TRISHA DONOVAN 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
1	133V00000X	Registered Dietitian		NJ

General Provider Information

NPI Number	:	1093664617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA DONOVAN RDN

Provider Business Mailing Address
First Line	:	39 SLEEPY HOLLOW DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5836
Country	:	US
Telephone Number	:	973-885-0192
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 SLEEPY HOLLOW DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5836
Country	:	US
Telephone Number	:	973-885-0192
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ TRISHA DONOVAN RDN” Practice Location

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