Provider Demographics
NPI:1841336476
Name:NALE, DEBORAH K (MS, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:K
Last Name:NALE
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 MILLER HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIFFLINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17059-7543
Mailing Address - Country:US
Mailing Address - Phone:717-535-5624
Mailing Address - Fax:717-535-5046
Practice Address - Street 1:713 MILLER HILL RD
Practice Address - Street 2:
Practice Address - City:MIFFLINTOWN
Practice Address - State:PA
Practice Address - Zip Code:17059-7543
Practice Address - Country:US
Practice Address - Phone:717-535-5624
Practice Address - Fax:717-535-5046
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000513133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered