MEDICARE: ELIZABETH YAHN MS, RD, LD, CLC

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	ND9534	FL

General Provider Information

NPI Number	:	1679144711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH YAHN MS, RD, LD, CLC

Provider Business Mailing Address
First Line	:	7424 POND CIR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-4338
Country	:	US
Telephone Number	:	352-513-6010
Fax Number	:

Provider Business Practice Location Address
First Line	:	12604 TATTERSALL PARK LN
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-3908
Country	:	US
Telephone Number	:	656-201-0211
Fax Number	:

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

Provider Enumeration Date	:	07/09/2021
Last Update Date	:	06/10/2024

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