Healthcare Provider Details

I. General information

NPI: 1831556885
Provider Name (Legal Business Name): MARGARET NEOLA RD LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2016
Last Update Date: 01/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 WISCONSIN AVE NW SUITE 401
WASHINGTON DC
20016-4119
US

IV. Provider business mailing address

5100 WISCONSIN AVE NW SUITE 401
WASHINGTON DC
20016-4119
US

V. Phone/Fax

Practice location:
  • Phone: 202-527-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI100000801
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: