| Marlena Tanner, Rdn, Llc | |
|
2598 Main St, Morro Bay, CA 93442-1553 | |
| (805) 305-9911 | |
| (833) 264-5898 |
| Full Name | Marlena Tanner, Rdn, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2598 Main St, Morro Bay, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942716626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 929304 (California) | Primary |
| Provider Name | Briana J Loudermilk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134402480 PECOS PAC ID: 6204253685 Enrollment ID: I20200831001713 |
| Provider Name | Marlen Tanner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871828962 PECOS PAC ID: 3870910151 Enrollment ID: I20200901002471 |
| Provider Name | Arisahi Crane |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841075876 PECOS PAC ID: 7012355860 Enrollment ID: I20240329001609 |
| Provider Name | Elizabeth Casparro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174741730 PECOS PAC ID: 3779921549 Enrollment ID: I20240329002356 |
| Provider Name | Justine Lowry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003488651 PECOS PAC ID: 4880134089 Enrollment ID: I20240913001001 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlena Tanner, Rdn, Llc 2598 Main St, Morro Bay, CA 93442-1553 Ph: (805) 591-0712 | Marlena Tanner, Rdn, Llc 2598 Main St, Morro Bay, CA 93442-1553 Ph: (805) 305-9911 |
Ms. Sarah Nicole Kessner, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-591-0712 | |
Kelsey Marie Mccourt, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-225-7302 | |
Emily Banser, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-305-9911 Fax: 833-264-5898 | |
Candice Allysha Rodriguez, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1274 Scott St, Morro Bay, CA 93442 Phone: 530-906-8919 | |
Marlen Tanner, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-591-0712 Fax: 833-264-5898 | |
Ms. Cameron Jung-fagan, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-591-0712 |