Provider Demographics
NPI:1437642576
Name:ALBERTS, COURTNEY (RD, LDN)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:ALBERTS
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5038 IMPALA DR
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-2700
Mailing Address - Country:US
Mailing Address - Phone:412-580-8448
Mailing Address - Fax:
Practice Address - Street 1:1907 LEBANON CHURCH RD STE 101
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2452
Practice Address - Country:US
Practice Address - Phone:412-650-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN006356133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered