Provider Demographics
NPI:1982053732
Name:FILIPPONE, NATALIE CHRISTINE (MS, RDN)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:CHRISTINE
Last Name:FILIPPONE
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:MISS
Other - First Name:NATALIE
Other - Middle Name:CHRISTINE
Other - Last Name:BRASCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN
Mailing Address - Street 1:504 BROOKHURST AVE
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:504 BROOKHURST AVE
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-1517
Practice Address - Country:US
Practice Address - Phone:267-664-4963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-11
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered