| Sara Mirra, MS, RD, LDN | |
|
2872 Turnpike St, Susquehanna, PA 18847-2771 | |
| (800) 323-2051 | |
| Not Available |
| Full Name | Sara Mirra |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2872 Turnpike St, Susquehanna, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033783782 | NPI | - | NPPES |
| 31087390 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN007366 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Mirra, MS, RD, LDN 315 Sharon Dr, Pittston, PA 18640-2298 Ph: (570) 675-0692 | Sara Mirra, MS, RD, LDN 2872 Turnpike St, Susquehanna, PA 18847-2771 Ph: (800) 323-2051 |
Logan Lee Ellis, RDN LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2872 Turnpike St, Susquehanna, PA 18847 Phone: 570-853-3135 | |
Mrs. Laura Anne Goble, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2872 Turnpike St, Susquehanna, PA 18847 Phone: 570-853-3235 |