MEDICARE: AMANDA HELEN BARNHART 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
1	133V00000X	Registered Dietitian	DN003475	PA

General Provider Information

NPI Number	:	1730692427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA HELEN BARNHART RDN, LDN

Provider Business Mailing Address
First Line	:	188 RIVER VIEW DR
Second Line	:
City	:	SUNBURY
State	:	PA
Zip	:	17801-5244
Country	:	US
Telephone Number	:	570-556-6166
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 WOODBINE LN
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17821-8020
Country	:	US
Telephone Number	:	570-214-6711
Fax Number	:

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

Provider Enumeration Date	:	11/16/2017
Last Update Date	:	11/16/2017

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