| Jenna Ostrom, RD | |
|
10825 W Mcdowell Rd Ste 220, Avondale, AZ 85392-5228 | |
| (623) 748-1291 | |
| Not Available |
| Full Name | Jenna Ostrom |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 4 Years |
| Location | 10825 W Mcdowell Rd Ste 220, Avondale, Arizona |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801620307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86292860 (Arizona) | Primary |
| Provider Name | Emily Program P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154696698 PECOS PAC ID: 5193623254 Enrollment ID: O20110419000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Ostrom, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825 | Jenna Ostrom, RD 10825 W Mcdowell Rd Ste 220, Avondale, AZ 85392-5228 Ph: (623) 748-1291 |
Haley Mollhagen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 |
Jacqueline Badine, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1513 S 121st Dr, Avondale, AZ 85323 Phone: 602-770-5086 |
Krupa Mathew Chackalackal, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 |
Diana Mrozek, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 |
Katherine Skarlis, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10825 W Mcdowell Rd Ste 220, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 |
Hannah Lacey, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 |
Mia Tomasula, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10825 W Mcdowell Rd Ste 220, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474 |