Provider Demographics
NPI:1386200541
Name:MERANSHIAN, GABRIELLE NANCY
Entity Type:Individual
Prefix:MISS
First Name:GABRIELLE
Middle Name:NANCY
Last Name:MERANSHIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 SUNHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08312-1935
Mailing Address - Country:US
Mailing Address - Phone:856-725-2260
Mailing Address - Fax:856-728-7459
Practice Address - Street 1:529 SUNHAVEN DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08312-1935
Practice Address - Country:US
Practice Address - Phone:856-725-2260
Practice Address - Fax:856-728-7459
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered