Provider Demographics
NPI:1114899002
Name:MARIA TAYLOR NUTRITION LLC
Entity type:Organization
Organization Name:MARIA TAYLOR NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:509-688-5397
Mailing Address - Street 1:5260 15TH AVE NE APT 303
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3472
Mailing Address - Country:US
Mailing Address - Phone:206-486-0729
Mailing Address - Fax:
Practice Address - Street 1:5260 15TH AVE NE APT 303
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3472
Practice Address - Country:US
Practice Address - Phone:509-688-5397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty