Basic Information
| Provider Information | |||||||||
| NPI: | 1952538266 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRZYBYSZEWSKI | ||||||||
| FirstName: | DARLENE | ||||||||
| MiddleName: | SUSAN | ||||||||
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| Credential: | RD, LDN, CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 104 E 2ND ST FL 4 | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165071532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148777157 | ||||||||
| FaxNumber: | 8148772844 | ||||||||
| Practice Location | |||||||||
| Address1: | 3330 PEACH ST STE 211 | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165082772 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148775484 | ||||||||
| FaxNumber: | 8148775489 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2009 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | DN000452 | PA | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.