MEDICARE: MORGAN ELISE REASON RD

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	86084120	OH

General Provider Information

NPI Number	:	1497522460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN ELISE REASON RD

Provider Business Mailing Address
First Line	:	3847 ISABELLA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-2143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3847 ISABELLA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-2143
Country	:	US
Telephone Number	:	330-322-5534
Fax Number	:

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

Provider Enumeration Date	:	12/08/2023
Last Update Date	:	05/07/2025

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