Provider Demographics
NPI:1588092704
Name:VILLANOVA UNIVERSITY
Entity type:Organization
Organization Name:VILLANOVA UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTERHALTER
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, RD, LDN
Authorized Official - Phone:610-519-5931
Mailing Address - Street 1:800 E LANCASTER AVE
Mailing Address - Street 2:DRISCOLL HALL, RM 224
Mailing Address - City:VILLANOVA
Mailing Address - State:PA
Mailing Address - Zip Code:19085-1603
Mailing Address - Country:US
Mailing Address - Phone:610-519-5931
Mailing Address - Fax:610-519-6780
Practice Address - Street 1:800 E LANCASTER AVE
Practice Address - Street 2:DRISCOLL HALL, RM 224
Practice Address - City:VILLANOVA
Practice Address - State:PA
Practice Address - Zip Code:19085-1603
Practice Address - Country:US
Practice Address - Phone:610-519-5931
Practice Address - Fax:610-519-6780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004668133V00000X
PADN003822133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty