Basic Information
| Provider Information | |||||||||
| NPI: | 1003005422 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORGANSTEIN | ||||||||
| FirstName: | ANDREA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5051 SW 35TH WAY | ||||||||
| Address2: | |||||||||
| City: | FT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333128263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9549895956 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5051 SW 35TH WAY | ||||||||
| Address2: | |||||||||
| City: | FT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333128263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9549895956 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/22/2007 | ||||||||
| LastUpdateDate: | 10/22/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 3765 | FL | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.