Provider Demographics
NPI:1821613795
Name:SCHMELL, AMANDA (RDN)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SCHMELL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 ELLISON CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-6109
Mailing Address - Country:US
Mailing Address - Phone:724-584-2717
Mailing Address - Fax:
Practice Address - Street 1:584 ELLISON CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-6109
Practice Address - Country:US
Practice Address - Phone:724-584-2717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered