Provider Demographics
NPI:1346960267
Name:HORNING, ALYSON (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:HORNING
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 DEVON PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1840
Mailing Address - Country:US
Mailing Address - Phone:267-405-6375
Mailing Address - Fax:
Practice Address - Street 1:485 DEVON PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1840
Practice Address - Country:US
Practice Address - Phone:267-405-6375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN007395133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered