Individual
NATALIE MICHELLE GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
4247 W RIDGE RD STE 105, ERIE, PA 16506-1746
(814) 838-2468
Mailing address
4247 W RIDGE RD STE 105, ERIE, PA 16506-1746
(814) 838-2468
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102594187
—
PA
Enumeration date
03/22/2011
Last updated
10/06/2020
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