| Mrs Diane B Misner, RD | |
| 
					400 W Blackwell St, Regional Diabetes Center, Dover, NJ 07801-2525  | |
| (973) 989-3637 | |
| (973) 398-9304 | 
| Full Name | Mrs Diane B Misner | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 400 W Blackwell St, Dover, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457530818 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 564534 (New Jersey) | Primary | 
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 564534 (New Jersey) | Secondary | 
| Provider Name | Diane's 365 Nutrition Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1760862205 PECOS PAC ID: 8022322973 Enrollment ID: O20150805008320  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Diane B Misner, RD 25 Birdseye Gln, Verona, NJ 07044-2304 Ph: (973) 857-1590  | Mrs Diane B Misner, RD 400 W Blackwell St, Regional Diabetes Center, Dover, NJ 07801-2525 Ph: (973) 989-3637  | 
Madelyn Getman, RDN, MED Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6 Elizabeth St, Dover, NJ 07801 Phone: 508-596-3756  | |
Ilyse G Berger, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 West Blackwell Street, Saint Clare's Hospital, Dover, NJ 07801 Phone: 973-989-3000  | |
Mrs. Jody Lashen, R.D.,C.D.E Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 W Blackwell St, Regional Diabetes Center, Dover, NJ 07801 Phone: 973-989-3637  | |
Mr. Roger Elroy Warn, MS, RDN, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 18 Reservoir Ave, Dover, NJ 07801 Phone: 201-819-9217  | |
Cheryl A Iannicelli, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 W Blackwell St, Saint Clare's Hospital, Dover, NJ 07801 Phone: 973-537-3805  | |
Ms. Elizabeth S Rodriguez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Audrey Pl, Dover, NJ 07801 Phone: 973-537-1474 Fax: 973-537-1474  |