Provider Demographics
NPI:1881602811
Name:RISHER, BEATRICE M (RD LDN)
Entity type:Individual
Prefix:MS
First Name:BEATRICE
Middle Name:M
Last Name:RISHER
Suffix:
Gender:F
Credentials: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:ONE GREEN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648
Mailing Address - Country:US
Mailing Address - Phone:814-943-8164
Mailing Address - Fax:814-940-7817
Practice Address - Street 1:2907 PLEASANT VALLEY BLVD
Practice Address - Street 2:JAMES E VAN ZANDT VA MEDICAL CENTER
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4377
Practice Address - Country:US
Practice Address - Phone:814-943-8164
Practice Address - Fax:814-940-7817
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN 001642133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered