Provider Demographics
NPI:1003005422
Name:MORGANSTEIN, ANDREA (RD)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:MORGANSTEIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5051 SW 35TH WAY
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-8263
Mailing Address - Country:US
Mailing Address - Phone:954-989-5956
Mailing Address - Fax:
Practice Address - Street 1:5051 SW 35TH WAY
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-8263
Practice Address - Country:US
Practice Address - Phone:954-989-5956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3765133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered