Maryanne Elizabeth Henderson in Hollywood - Nutrition, Renal

Maryanne Elizabeth Henderson - NPI 1245239151

Maryanne Elizabeth Henderson is a Nutrition, Renal in Hollywood, Florida. Maryanne Elizabeth Henderson practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Maryanne Elizabeth Henderson is 1245239151. The last update date is 2007-07-08.

Maryanne Elizabeth Henderson's current location address is 1520 Fletcher St, Hollywood, Florida. You can contact this provider via phone number 9549236500. The mailing address for Maryanne Elizabeth Henderson is 1520 Fletcher St, Hollywood, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Maryanne Elizabeth Henderson
Address 1520 Fletcher St, Hollywood, Florida
Phone Number 9549236500
Fax Number
Sole Proprietor X
Credentials R.D., LD/N

NPI Number Detail

NPI Number 1245239151
Provider Enumeration Date 2005-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1520 Fletcher St
City Hollywood
State Florida (FL)
Post Code 330206511
Phone Number 9549236500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition, Renal
Taxonomy 133Vn1005X
Licence No ND3567
Definition:
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl

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FAQs about Maryanne Elizabeth Henderson

What is the unique 10-digit identifier code assigned to Maryanne Elizabeth Henderson by the Centers for Medicare & Medicaid Services?

The Maryanne Elizabeth Henderson has been issued the NPI (National Provider Identifier) 1245239151 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Maryanne Elizabeth Henderson?

The Maryanne Elizabeth Henderson is physically situated at 1520 Fletcher St, in the city of Hollywood, state of FL, with the postal code 330206511.

What is Maryanne Elizabeth Henderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Maryanne Elizabeth Henderson is Nutrition, Renal, and the taxonomy code that classifies this field of practice is 133Vn1005X.

On what date did the Maryanne Elizabeth Henderson receive its 1245239151 assignment from the Centers for Medicare & Medicaid Services?

The Maryanne Elizabeth Henderson was assigned its 1245239151 by the Centers for Medicare & Medicaid Services on 2005-07-21.

As of what date were the Maryanne Elizabeth Henderson's details last updated?

The information pertaining to the Maryanne Elizabeth Henderson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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