Provider Demographics
NPI:1467060632
Name:MATEER, ALEXIS (RDN)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:MATEER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 SAWYER DR
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-4428
Mailing Address - Country:US
Mailing Address - Phone:724-683-5010
Mailing Address - Fax:
Practice Address - Street 1:140 SAWYER DR
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-4428
Practice Address - Country:US
Practice Address - Phone:724-683-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered