Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooke Ana Mickavicz, MS, RDN, LDN

Individual provider Registered Dietitian · NPI 1861214082

Brooke Ana Mickavicz, MS, RDN, LDN is a Registered Dietitian in Taylor, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

530 S Main St
Taylor, PA 18517-1822
Phone: (570) 702-7729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DN008601 (PA)

Record details

NPI number1861214082
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , LDN
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

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