| Alyson Nicole Heenan, RD, LDN, CDCES | |
|
100 E Carroll St, Salisbury, MD 21801-5422 | |
| (410) 546-6400 | |
| Not Available |
| Full Name | Alyson Nicole Heenan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 100 E Carroll St, Salisbury, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285106393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DX4448 (Maryland) | Primary |
| Provider Name | Tidalhealth Peninsula Regional Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184832040 PECOS PAC ID: 3072509702 Enrollment ID: O20040420001571 |
| Provider Name | Tidalhealth Specialty Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyson Nicole Heenan, RD, LDN, CDCES 100 E Carroll St, Salisbury, MD 21801-5422 Ph: (410) 546-6400 | Alyson Nicole Heenan, RD, LDN, CDCES 100 E Carroll St, Salisbury, MD 21801-5422 Ph: (410) 546-6400 |
Ms. Virginia M. Meyers, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7743 | |
Mrs. Carol Ann Giampietro, RD, CNSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-572-4463 | |
Gwyneth Lynnette Bradshaw, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 724 E Main St, Salisbury, MD 21804 Phone: 443-397-6647 | |
Emma Faye Sybert, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 E Vine St, Salisbury, MD 21804 Phone: 443-987-2230 | |
Ms. Rabia Ahmad, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1665 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-546-6650 Fax: 410-546-2656 | |
Judith Ann Dzimiera, RD, LDN, MED Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7061 | |
Malinda Mcquain Cecil, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1305 Sylvia St, Salisbury, MD 21804 Phone: 443-783-3642 |