Provider Demographics
NPI:1023249224
Name:MORASKI, JAMIE L (RD,LDN)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:L
Last Name:MORASKI
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:MISS
Other - First Name:JAMIE
Other - Middle Name:L
Other - Last Name:BEEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD,LDN
Mailing Address - Street 1:3822 COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-3826
Mailing Address - Country:US
Mailing Address - Phone:814-835-2626
Mailing Address - Fax:814-835-2646
Practice Address - Street 1:3822 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-3826
Practice Address - Country:US
Practice Address - Phone:814-835-2626
Practice Address - Fax:814-835-2646
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003809133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered