Provider Demographics
NPI:1417593518
Name:POVER, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:POVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:LENHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, CSOWM, LDN
Mailing Address - Street 1:15 FOXCROFT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1701
Mailing Address - Country:US
Mailing Address - Phone:412-638-4848
Mailing Address - Fax:
Practice Address - Street 1:15 FOXCROFT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1701
Practice Address - Country:US
Practice Address - Phone:412-638-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-23
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALDN004255133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered