Provider Demographics
NPI:1598016586
Name:MILLER, JOAN LOUISE (RD, LDN, CDE)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:LOUISE
Last Name:MILLER
Suffix:
Gender:F
Credentials:RD, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 REECEVILLE RD
Mailing Address - Street 2:BRANDYWINE HOSPITAL-NUTRITION SERVICES
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1542
Mailing Address - Country:US
Mailing Address - Phone:610-383-8082
Mailing Address - Fax:610-466-4578
Practice Address - Street 1:201 REECEVILLE RD
Practice Address - Street 2:BRANDYWINE HOSPITAL-NUTRITION SERVICES
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1542
Practice Address - Country:US
Practice Address - Phone:610-383-8082
Practice Address - Fax:610-466-4578
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000993133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered