Amy Deahl-Greenlaw, RDN
Nutritionist in Berwyn, PA. Individual provider (NPI-1).
NPI number1124480587
StatusActive
Last updated in NPPESMar 24, 2016
Details
- NPI
- 1124480587
- Entity type
- Individual (NPI-1)
- Name
- Amy Deahl-Greenlaw
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2016
- Last updated
- Mar 24, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | DN000633 | PA | Yes |
Practice location
581 Watford LnBerwyn, PA 19312-1750
Phone 610-220-6085
Mailing address
581 Watford LnBerwyn, PA 19312-1750
Phone 610-220-6085
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