Provider Demographics
NPI:1104976489
Name:SCARLETT, DONNA M (RD, LDN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:SCARLETT
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:HARTUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD,LDN
Mailing Address - Street 1:27 SEANOR ST
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3150
Mailing Address - Country:US
Mailing Address - Phone:724-527-1960
Mailing Address - Fax:
Practice Address - Street 1:562 SHEARER ST
Practice Address - Street 2:CKD SERVICES OF GREENSBURG
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2746
Practice Address - Country:US
Practice Address - Phone:724-832-8061
Practice Address - Fax:724-832-9311
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001724133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal