Provider Demographics
NPI:1740226778
Name:TRENNEY, ROSLYN F (MS RD LDN)
Entity Type:Individual
Prefix:MRS
First Name:ROSLYN
Middle Name:F
Last Name:TRENNEY
Suffix:
Gender:F
Credentials:MS RD LDN
Other - Prefix:MRS
Other - First Name:LYNN
Other - Middle Name:F
Other - Last Name:TRENNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS RD LDN
Mailing Address - Street 1:323 SUNSET DRIVE
Mailing Address - Street 2:ADAGIO HEALTH BUTLER SUITE 1
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-282-2730
Mailing Address - Fax:724-282-3004
Practice Address - Street 1:2 CASCADE GALLENA PLAZA
Practice Address - Street 2:ADAGIO HEALTH NEW CASTLE
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101
Practice Address - Country:US
Practice Address - Phone:724-658-6681
Practice Address - Fax:724-658-6883
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001149133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionist
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA055548Medicare ID - Type Unspecified