Healthcare Provider Details

I. General information

NPI: 1942467907
Provider Name (Legal Business Name): ERIN DAVIS WOLF-BARNETT MS RD LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 06/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N WASHINGTON ST STE 407
ROCKVILLE MD
20850-2255
US

IV. Provider business mailing address

506 24TH ST S # 1
ARLINGTON VA
22202-2524
US

V. Phone/Fax

Practice location:
  • Phone: 410-913-7078
  • Fax:
Mailing address:
  • Phone: 410-913-7078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberD02439
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: