Individual
DANETTE RENEE MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-0100
(570) 398-3999
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003803
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN003803
PA LICENSE #
PA
Enumeration date
10/16/2007
Last updated
08/31/2020
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