Provider Demographics
NPI:1578998514
Name:DI BERNARDO, ANDREANA (RD)
Entity Type:Individual
Prefix:MS
First Name:ANDREANA
Middle Name:
Last Name:DI BERNARDO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 RIGHTER RD
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1706
Mailing Address - Country:US
Mailing Address - Phone:973-252-0065
Mailing Address - Fax:
Practice Address - Street 1:4 RIGHTER RD
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1706
Practice Address - Country:US
Practice Address - Phone:973-252-0065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered