Provider Demographics
NPI:1427352517
Name:FOIW WASHESKY, PAULA ANNE (RD, LDN)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:ANNE
Last Name:FOIW WASHESKY
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1456
Mailing Address - Country:US
Mailing Address - Phone:215-361-6915
Mailing Address - Fax:
Practice Address - Street 1:100 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1456
Practice Address - Country:US
Practice Address - Phone:215-361-6915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004166133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered