Healthcare Provider Details

I. General information

NPI: 1992500102
Provider Name (Legal Business Name): NATALIA HOLGUIN RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7310 PARKVIEW DR
FREDERICK MD
21702-3642
US

IV. Provider business mailing address

7310 PARKVIEW DR
FREDERICK MD
21702-3642
US

V. Phone/Fax

Practice location:
  • Phone: 240-586-4959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License NumberDX4530
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: