Provider Demographics
NPI:1356757025
Name:APPEL, MIRANDA JANE (RDN)
Entity type:Individual
Prefix:MS
First Name:MIRANDA
Middle Name:JANE
Last Name:APPEL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:960 PENN AVE
Mailing Address - Street 2:STE 600
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3818
Mailing Address - Country:US
Mailing Address - Phone:800-215-7494
Mailing Address - Fax:412-288-9036
Practice Address - Street 1:200 SOUTH JEFFERSON ST.
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101
Practice Address - Country:US
Practice Address - Phone:724-714-1484
Practice Address - Fax:724-658-7953
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005084133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered