Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYAM NIKANTABAR
Active Sole ProprietorMARYAM NIKANTABAR is a Obesity & Weight Management Nutrition healthcare provider located in SUGARLOAF, Pennsylvania. NPI 1508405994 is currently active in the NPPES registry. Verify at CMS.
Obesity & Weight Management Nutrition · SUGARLOAF, PA
Registration Details
- NPI Number
- 1508405994
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2020 (6.6520387921965 yrs)
- Last Updated
- Jan 24, 2020
- License
-
DN006783 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 BROOKHILL SQ S # PASUGARLOAF, PA, 182491010Browse PA providers · Browse ZIP 18249
- Phone
- 5704590029
- Primary Specialty
-
Obesity & Weight Management Nutrition
133VN1201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.