Provider Demographics
NPI:1144389446
Name:UPLINGER, NADINE (MS, RD, CDE, LDN)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:UPLINGER
Suffix:
Gender:F
Credentials:MS, RD, CDE, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 BRISTOL RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3923
Mailing Address - Country:US
Mailing Address - Phone:267-994-0882
Mailing Address - Fax:215-953-0889
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:3216 LEVY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141
Practice Address - Country:US
Practice Address - Phone:215-456-6865
Practice Address - Fax:215-456-4992
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000049133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA068236RLKMedicare ID - Type Unspecified