Provider Demographics
NPI:1174385231
Name:MARILEE FRITSCH NUTRITION LLC
Entity type:Organization
Organization Name:MARILEE FRITSCH NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITSCH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:412-759-2799
Mailing Address - Street 1:1800 5TH AVE APT 410
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5580
Mailing Address - Country:US
Mailing Address - Phone:412-759-2799
Mailing Address - Fax:
Practice Address - Street 1:1800 5TH AVE APT 410
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5580
Practice Address - Country:US
Practice Address - Phone:412-759-2799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty