Provider Demographics
NPI:1841644309
Name:MCNEW, AMELIA (MNT, CNTP)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:MCNEW
Suffix:
Gender:F
Credentials:MNT, CNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 STONEY HURST BND
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:46750-4508
Mailing Address - Country:US
Mailing Address - Phone:219-863-2882
Mailing Address - Fax:
Practice Address - Street 1:2020 STONEY HURST BND
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:IN
Practice Address - Zip Code:46750-4508
Practice Address - Country:US
Practice Address - Phone:219-863-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist