Individual
MAURA BETH BALAFOUTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSR, RD, LDN
Contact information
Practice address
421 SCOTT DR, SHIPPENSBURG, PA 17257-2168
(717) 658-4540
Mailing address
421 SCOTT DR, SHIPPENSBURG, PA 17257-2168
(717) 658-4540
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003817
PA
133V00000X
Registered Dietitian
ND13996
FL
133VN1005X
Renal Nutrition Registered Dietitian
DN003817
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3482223
HIGHMARK BLUE SHIELD
PA
05
—
662611
—
PA
Enumeration date
03/13/2012
Last updated
05/20/2025
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