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Elena Condra, RD

Dietitian, Registered in Owosso, MI. Individual provider (NPI-1).

NPI number1336710243
StatusActive
Last updated in NPPESFeb 3, 2023

Details

NPI
1336710243
Entity type
Individual (NPI-1)
Name
Elena Condra
Credential
RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 2, 2021
Certification date
Feb 3, 2023
Last updated
Feb 3, 2023

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 codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86150002MIYes

Practice location

819 N Shiawassee St Ste 120
Owosso, MI 48867-1601

Phone 989-729-4710

Mailing address

819 N Shiawassee St Ste 120
Owosso, MI 48867-1601

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Dietitian providers in Owosso, MI

All 8 Registered Dietitian providers in Owosso · All 1,229 providers in Owosso

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