Caryll Sue Defrate, RD,LDN,CDE is a 
Dietitian, Registered based in Pleasant Gap, Pennsylvania. Caryll Sue Defrate is licensed to practice in Pennsylvania (license number 081011802) and her current practice location is 
550 W College Ave, Pleasant Gap, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at 
(814) 359-3421.
NPI number for Caryll Sue Defrate is 1255571931 and her current mailing address is 550 W College Ave, Pleasant Gap, Pennsylvania. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255571931.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Caryll Sue Defrate | 
|---|
| Gender | Female | 
|---|
| Speciality | Dietitian, Registered | 
|---|
| Location | 550 W College Ave, Pleasant Gap, Pennsylvania | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1255571931
 - Provider Enumeration Date: 02/20/2009
 - Last Update Date: 02/20/2009
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Caryll Sue Defrate such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1255571931 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 133V00000X | Dietitian, Registered  | 081011802 (Pennsylvania) | 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. Caryll Sue Defrate 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 | 
		Caryll Sue Defrate, RD,LDN,CDE 550 W College Ave, Pleasant Gap, PA 16823-7401 Ph: (814) 359-3421 | Caryll Sue Defrate, RD,LDN,CDE 550 W College Ave, Pleasant Gap, PA 16823-7401 Ph: (814) 359-3421 | 
		
		 
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