Angela Listerud, RD is a
Dietitian, Registered based in Koloa, Hawaii. Angela Listerud is licensed to practice in California (license number 86111104) and her current practice location is
2573 Halalu St, Koloa, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(714) 727-7943.
NPI number for Angela Listerud is 1538943907 and her current mailing address is Po Box 1821, Koloa, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538943907.
Healthcare Provider's Profile
| Full Name | Angela Listerud |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 2573 Halalu St, Koloa, Hawaii |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538943907
- Provider Enumeration Date: 08/24/2023
- Last Update Date: 08/24/2023
Medical Identifiers
Medical identifiers for Angela Listerud such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538943907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 86111104 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Listerud is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Angela Listerud, RD Po Box 1821, Koloa, HI 96756-1821 Ph: (714) 727-7943 | Angela Listerud, RD 2573 Halalu St, Koloa, HI 96756 Ph: (714) 727-7943 |
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