Provider Demographics
NPI:1558149963
Name:HARTMAN, MELANIE (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 CORNWALLIS DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5502
Mailing Address - Country:US
Mailing Address - Phone:610-316-8847
Mailing Address - Fax:
Practice Address - Street 1:960 CORNWALLIS DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5502
Practice Address - Country:US
Practice Address - Phone:610-316-8847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered