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NPI Code Detail

MEDICARE: ALYSON L HORNBY RDN, LDN

MEDICARE: ALYSON L HORNBY RDN, LDN
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 DietitianND12807FL
2133N00000XNutritionistND12807FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295598712
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSON L HORNBY RDN, LDN
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-424-3120
Fax Number : 239-343-4140
Provider Business Practice Location Address
First Line : 501 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2618
Country : US
Telephone Number : 239-424-3120
Fax Number : 239-343-4140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2024
Last Update Date : 12/10/2025

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