Individual provider · Type 1 NPI
Maryellen Canouse
Registered Dietitian · Philadelphia, PA
Practice location
3517 Vaux St
Philadelphia, PA 19129-1445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 86390457 (PA) |
Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…
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About NPI 1497690572
Maryellen Canouse's National Provider Identifier is 1497690572, issued on Apr 23, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 23, 2026.