IndividualActive
Mary Weiss
NPI 1184553059 · Pediatric Critical Care Nutrition Registered Dietitian · Philadelphia, PA
Provider details
- NPI number
- 1184553059
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN007897 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
943 Washington Ave Apt 404
Philadelphia, PA 19147-3868
Phone: (856) 701-4198
Approximate (ZIP-level) locationGet directions
Mailing address
943 Washington Ave Apt 404
Philadelphia, PA 19147-3868
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
- Certified
- 2026-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.