Mark Hanna
Mark Hanna is a Registered Dietitian OR Nutrition Professional in Old Bridge, New Jersey. Qualified in 2022, 4 years ago. Practices with Nourish, Inc, a 277-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 4
- Licensed in
- NJ
- In the registry since
- 2024
Practice location Address checks out
35 Arden RdOld Bridge, NJ 08857-1829
Phone: (732) 589-2266
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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 86170043 (NJ) |
|---|
Record details
| NPI number | 1073322566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 30, 2024 |
| Last updated in NPPES | December 30, 2024 |
| Certification date | December 30, 2024 |
| Mailing address | 3724 Jefferson St Ste 104, Austin, TX 78731-6204 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Nourish, Inc. — 277 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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