Healthcare Provider Details

I. General information

NPI: 1770180176
Provider Name (Legal Business Name): NU FLORA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10904 GUNPOWDER DR
FORT WASHINGTON MD
20744-4155
US

IV. Provider business mailing address

10904 GUNPOWDER DR
FORT WASHINGTON MD
20744-4155
US

V. Phone/Fax

Practice location:
  • Phone: 240-462-6321
  • Fax:
Mailing address:
  • Phone: 240-462-6321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIANKA A BELL
Title or Position: REGISTERED DIETITIAN
Credential: RD
Phone: 240-462-6321