Provider Demographics
NPI:1407545288
Name:MOSITES, MARGARET OVERHOLT
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:OVERHOLT
Last Name:MOSITES
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 1:6640 ROSEMOOR ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-3028
Mailing Address - Country:US
Mailing Address - Phone:724-986-1429
Mailing Address - Fax:
Practice Address - Street 1:6640 ROSEMOOR ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-3028
Practice Address - Country:US
Practice Address - Phone:724-986-1429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist