Provider Demographics
NPI:1417618216
Name:TURPACK, ASHLEY (MS,RDN,LDN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:TURPACK
Suffix:
Gender:F
Credentials:MS,RDN,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:EYNON
Mailing Address - State:PA
Mailing Address - Zip Code:18403-1105
Mailing Address - Country:US
Mailing Address - Phone:570-209-4348
Mailing Address - Fax:
Practice Address - Street 1:648 MILLER ST
Practice Address - Street 2:
Practice Address - City:EYNON
Practice Address - State:PA
Practice Address - Zip Code:18403-1105
Practice Address - Country:US
Practice Address - Phone:570-209-4348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN007600133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered