Healthcare Provider Details

I. General information

NPI: 1487042925
Provider Name (Legal Business Name): HELEN CHAVEZ ESPENIDA MS, RD, LDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2015
Last Update Date: 01/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 HOSPITAL DRIVE, THE DIABETES CENTER PRINCE GEORGE'S HOSPITAL CENTER
CHEVERLY MD
20785
US

IV. Provider business mailing address

3001 HOSPITAL DRIVE, THE DIABETES CENTER PRINCE GEORGE'S HOSPITAL CENTER
CHEVERLY MD
20785
US

V. Phone/Fax

Practice location:
  • Phone: 301-618-6555
  • Fax: 301-618-6554
Mailing address:
  • Phone: 301-618-6555
  • Fax: 301-618-6554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number708182
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: