Provider Demographics
NPI:1710774153
Name:ARATA, BRYN MADDEN (RD, LDN)
Entity type:Individual
Prefix:
First Name:BRYN
Middle Name:MADDEN
Last Name:ARATA
Suffix:
Gender:
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 AVONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1960
Mailing Address - Country:US
Mailing Address - Phone:404-317-0202
Mailing Address - Fax:
Practice Address - Street 1:835 AVONWOOD DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1960
Practice Address - Country:US
Practice Address - Phone:404-317-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered