Provider Demographics
NPI:1750816955
Name:TONREY, MARY ANN (MS, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:TONREY
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 W POWDERHORN RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2007
Mailing Address - Country:US
Mailing Address - Phone:717-798-6043
Mailing Address - Fax:
Practice Address - Street 1:607 SOUTH DR RM 339
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17120-0600
Practice Address - Country:US
Practice Address - Phone:717-772-0759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000080133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered