National Provider Identifier
Miranda Bethin, MS, RD, CDN
Miranda Bethin, MS, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 431-5100.
Profile Overview
- NPI
- 1114672839
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- February 22, 2022
- Last Updated
- February 22, 2022
Practice Location
- 742 Delaware Ave
- Buffalo, NY 14209-2202
Phone: (716) 431-5100
Mailing Address
- 22 Keats Ave
- Tonawanda, NY 14150-8540
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1114672839
- Entity Type
- Individual
- Last Name
- Bethin
- First Name
- Miranda
- Credential
- MS, RD, CDN
- Mailing Street Address
- 22 Keats Ave
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-8540
- Mailing Country
- US
- Practice Street Address
- 742 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2202
- Practice Country
- US
- Practice Phone
- (716) 431-5100
- Enumeration Date
- February 22, 2022
- Last Updated
- February 22, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 22, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)