Provider Demographics
NPI:1548726748
Name:MORGAN, DONNA J (RDN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:J
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-4676
Mailing Address - Country:US
Mailing Address - Phone:570-493-1435
Mailing Address - Fax:
Practice Address - Street 1:139 FORESTBURGH RD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-2348
Practice Address - Country:US
Practice Address - Phone:845-791-1624
Practice Address - Fax:845-791-1689
Is Sole Proprietor?:No
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN006555133V00000X
NY009645133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered