NPI 1467090712

Jenna Elizabeth Fadale

Practitioner Registered Dietitian Honesdale, PA

Practice location

Address: 952 Bethany Tpke, Honesdale, PA 18431-4194
Phone: (716) 949-0006

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Pennsylvania →

Registry record

NPI: 1467090712
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2019
Record last updated: 17 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.