Provider Demographics
NPI:1356984629
Name:EPTING, AMY (MA, RD, LDN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:EPTING
Suffix:
Gender:F
Credentials:MA, RD, LDN
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:EPTING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, RD, LDN
Mailing Address - Street 1:460 BERNE RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-8917
Mailing Address - Country:US
Mailing Address - Phone:610-207-1737
Mailing Address - Fax:
Practice Address - Street 1:2485 ZERBE RD
Practice Address - Street 2:
Practice Address - City:NARVON
Practice Address - State:PA
Practice Address - Zip Code:17555-9328
Practice Address - Country:US
Practice Address - Phone:717-445-8741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-19
Last Update Date:2019-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA933987133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered