Healthcare Provider Details

I. General information

NPI: 1538998976
Provider Name (Legal Business Name): MAURA NANCY HOHL MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2489 1ST AVE
HUNTINGTON WV
25703-1233
US

IV. Provider business mailing address

2489 1ST AVE APT D135
HUNTINGTON WV
25703-1268
US

V. Phone/Fax

Practice location:
  • Phone: 301-525-1278
  • Fax:
Mailing address:
  • Phone: 301-525-1278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86101652
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: