Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ELLEN KOLODIEJ MOEHLENHOF, RDN
Active Sole ProprietorMARY ELLEN KOLODIEJ MOEHLENHOF, RDN is a Registered Dietitian healthcare provider located in LONG BEACH, Indiana. NPI 1871315333 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · LONG BEACH, IN
Registration Details
- NPI Number
- 1871315333
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2024 (1.7759169708573 yrs)
- Last Updated
- Oct 28, 2024
- Licenses
-
37002080A (IN)164005409 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2717 SHOREWOOD DRLONG BEACH, IN, 463602291Browse IN providers · Browse ZIP 46360
- Phone
- 2198719037
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
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.