Provider Demographics
NPI:1992302806
Name:VERI, ELIZABETH ANN (RD,LDN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:VERI
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:VERI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ELIZABETH VERI,RDLDN
Mailing Address - Street 1:3002 GREEN LEAF CT
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-7000
Mailing Address - Country:US
Mailing Address - Phone:724-651-3304
Mailing Address - Fax:
Practice Address - Street 1:3002 GREEN LEAF CT
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-7000
Practice Address - Country:US
Practice Address - Phone:724-651-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001104133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered