National Provider Identifier
Andrea Rose Bowman-Defino, RD, CDN
Andrea Rose Bowman-Defino, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Perrysburg, NY and a listed phone number of (716) 532-1268.
Profile Overview
- NPI
- 1053999672
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- April 02, 2021
- Last Updated
- April 02, 2021
Practice Location
- 12234 Route 39
- Perrysburg, NY 14129-9712
Phone: (716) 532-1268
Mailing Address
- 56 Martha Pl
- Hamburg, NY 14075-5222
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1053999672
- Entity Type
- Individual
- Last Name
- Bowman-Defino
- First Name
- Andrea
- Middle Name
- Rose
- Name Prefix
- Mrs.
- Credential
- RD, CDN
- Mailing Street Address
- 56 Martha Pl
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5222
- Mailing Country
- US
- Mailing Phone
- (716) 583-2676
- Practice Street Address
- 12234 Route 39
- Practice City
- Perrysburg
- Practice State
- NY
- Practice ZIP Code
- 14129-9712
- Practice Country
- US
- Practice Phone
- (716) 532-1268
- Enumeration Date
- April 02, 2021
- Last Updated
- April 02, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 26, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)