Healthcare Provider Details

I. General information

NPI: 1598532939
Provider Name (Legal Business Name): BELINDA JOHNSON CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2023
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9841 WASHINGTONIAN BLVD STE 200
GAITHERSBURG MD
20878-7350
US

IV. Provider business mailing address

9841 WASHINGTONIAN BLVD STE 200
GAITHERSBURG MD
20878-7350
US

V. Phone/Fax

Practice location:
  • Phone: 240-720-7797
  • Fax: 833-941-2313
Mailing address:
  • Phone: 240-720-7797
  • Fax: 833-941-2314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: