Provider Demographics
NPI:1144038399
Name:FERRARA, MARLENA (RD)
Entity type:Individual
Prefix:
First Name:MARLENA
Middle Name:
Last Name:FERRARA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 PINE GROVE LOOP
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9630
Mailing Address - Country:US
Mailing Address - Phone:985-237-2745
Mailing Address - Fax:
Practice Address - Street 1:652 PINE GROVE LOOP
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-9630
Practice Address - Country:US
Practice Address - Phone:985-237-2745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered