Organization
HEATHER REYMUNDE WITTMER, REGISTERED DIETITIAN NUTRITIONIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER REYMUNDE WITTMER MS RDN LDN (CEO/REGISTERED DIETITIAN)
(570) 709-5909
Entity
Organization
Contact information
Practice address
359 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1984
(570) 709-5909
(866) 839-4061
Mailing address
63 ALEKSANDER BLVD, MOUNTAIN TOP, PA 18707-9236
(570) 709-5909
(866) 839-4061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609488659
INDIVIDUAL NPI
PA
01
—
86104089
CDR REGISTRATION #
PA
01
—
DN007247
LICENSURE
PA
Enumeration date
10/25/2022
Last updated
10/25/2022
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