Altavilla, Noelle Dominique

Altavilla, Noelle Dominique is an individual health care provider with primary practice located at 141 N Vine St , Hazleton PA 18201-5852. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Altavilla, Noelle Dominique can be contacted via phone (570) 501-6322.

Contact Information

Primary practice address
141 N Vine St Hazleton PA 18201-5852
Phone: (570) 501-6322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN003742 Pennsylvania

Profile Details

NPI number 1275827008
LBN Legal business name Altavilla, Noelle Dominique
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2011
Last updated Aug 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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