| Mon-san Wang, RDN, LDN, LD | |
|
3724 Jefferson St Ste 104, Austin, TX 78731-6204 | |
| (512) 692-7045 | |
| Not Available |
| Full Name | Mon-san Wang |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3724 Jefferson St Ste 104, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144078189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L005706 (North Carolina) | Secondary |
| 133V00000X | Dietitian, Registered | DT90116 (Texas) | 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 |
|---|---|
| Mon-san Wang, RDN, LDN, LD 3724 Jefferson St Ste 104, Austin, TX 78731-6204 Ph: (512) 692-7045 | Mon-san Wang, RDN, LDN, LD 3724 Jefferson St Ste 104, Austin, TX 78731-6204 Ph: (512) 692-7045 |
Adriana Krueger, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12209 Alcanza Dr, Austin, TX 78739 Phone: 512-550-4849 |
Kimberley Bandelier, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St, Suite 104, Austin, TX 78731 Phone: 512-693-7045 |
Gabrielle Palmeri, MDN, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 412-692-7699 |
Dr. Michaela Slatniske, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2105 East Mlk Blvd, #111, Austin, TX 78702 Phone: 512-309-1650 |
Naomi Liana Oetken, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 512-693-7045 |
Jorja Skyy Washington, RD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 7701 N Lamar Blvd Ste 402, Austin, TX 78752 Phone: 512-257-0898 |
Abbygail Hicks Franklin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 901-361-8992 |