| Johanna Eichner, RDN | |
|
105 Avery St, Manchester, CT 06042-1705 | |
| (860) 617-8045 | |
| Not Available |
| Full Name | Johanna Eichner |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 105 Avery St, Manchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063284917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 002335 (Connecticut) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna Eichner, RDN 105 Avery St, Manchester, CT 06042-1705 Ph: (860) 617-8045 | Johanna Eichner, RDN 105 Avery St, Manchester, CT 06042-1705 Ph: (860) 617-8045 |
Dr. Patrice Alysia Hubert, PHD, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 334 Summit St, Manchester, CT 06042 Phone: 860-833-1059 |
Mrs. Lavina Milone, RD, CD-N, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St., Diabetes Self-management Program, Manchester, CT 06040 Phone: 860-646-1222 |
Catherine Navarra St.charles, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Main St, Manchester, CT 06042 Phone: 860-649-6944 Fax: 860-649-6951 |
Mrs. Heather Lynn Gifford, RD CDN CNSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes Street, Manchester Memorial Hospital, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-647-6857 |
Ms. Julie Batulevitz, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 140 Eldridge St, Manchester, CT 06040 Phone: 860-268-4938 |
Miss Carol Ann Bergin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Sodexho At Manchester Memorial Hospital, Manchester, CT 06040 Phone: 860-533-3411 |
Ms. Cindy Cohen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 Jacqueline Dr, Manchester, CT 06040 Phone: 860-416-4855 |