Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maryellen Canouse

Individual provider Registered Dietitian · NPI 1497690572

Maryellen Canouse is a Registered Dietitian in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

3517 Vaux St
Philadelphia, PA 19129-1445
Phone: (215) 896-4664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86390457 (PA)

Record details

NPI number1497690572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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