MEDICARE: DANIELLE NICOLE NORTH

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	86390570	GA

General Provider Information

NPI Number	:	1841143377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE NICOLE NORTH

Provider Business Mailing Address
First Line	:	300 BROOKSIDE AVE STE 125
Second Line	:
City	:	AMBLER
State	:	PA
Zip	:	19002-3436
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 BROOKSIDE AVE STE 125
Second Line	:
City	:	AMBLER
State	:	PA
Zip	:	19002-3436
Country	:	US
Telephone Number	:	877-842-2425
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ DANIELLE NICOLE NORTH ” Practice Location

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