Provider Demographics
NPI:1689922593
Name:YURGA, EMILY MARIE (RD, LDN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:YURGA
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 1:427 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4220
Mailing Address - Country:US
Mailing Address - Phone:610-688-8807
Mailing Address - Fax:610-688-2970
Practice Address - Street 1:427 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-4220
Practice Address - Country:US
Practice Address - Phone:610-688-8807
Practice Address - Fax:610-688-2970
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004892133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered