Provider Demographics
NPI:1609616853
Name:STRZEMIECZNY, MARY ANASTAZIA (MPH, RDN)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ANASTAZIA
Last Name:STRZEMIECZNY
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4228 53RD AVE W APT 2406
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34210-4408
Mailing Address - Country:US
Mailing Address - Phone:609-247-7051
Mailing Address - Fax:
Practice Address - Street 1:4228 53RD AVE W APT 2406
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-4408
Practice Address - Country:US
Practice Address - Phone:609-247-7051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-27
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered