Provider Demographics
NPI:1124334800
Name:WEBB, RICHETTA URQUHART (REGISTERED DIETITIAN)
Entity type:Individual
Prefix:MRS
First Name:RICHETTA
Middle Name:URQUHART
Last Name:WEBB
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 HOLMEHURST WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3451
Mailing Address - Country:US
Mailing Address - Phone:301-262-1712
Mailing Address - Fax:
Practice Address - Street 1:4301 HOLMEHURST WAY
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3451
Practice Address - Country:US
Practice Address - Phone:301-262-1712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNU45133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered