Provider Demographics
NPI:1336808294
Name:MCANDREW, MOLLY ANNE (RD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANNE
Last Name:MCANDREW
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 HUNTER DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3609
Mailing Address - Country:US
Mailing Address - Phone:412-330-7744
Mailing Address - Fax:
Practice Address - Street 1:6023 HARVARD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3053
Practice Address - Country:US
Practice Address - Phone:412-661-2802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86007444133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered